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改良膀胱腹直肌间置术治疗逼尿肌无反射型神经原性膀胱(附9例报告)
引用本文:彭国辉,王东生,梁化东,杜玉香,张跃利,王科丞,车广欣,卜铁方,王大镛,司慧彬.改良膀胱腹直肌间置术治疗逼尿肌无反射型神经原性膀胱(附9例报告)[J].黑龙江医学,2001,25(1):19-20.
作者姓名:彭国辉  王东生  梁化东  杜玉香  张跃利  王科丞  车广欣  卜铁方  王大镛  司慧彬
作者单位:1. 牡丹江市第二人民医院泌尿外科
2. 牡丹江市急诊急救中心泌尿外科
3. 海林市中医院泌尿外科
摘    要:目的 为了提高逼尿肌无反射型神经原性膀胱患者的手术治疗效果。方法 对 9例逼尿肌无反射型神经原性膀胱患者采用改良膀胱腹直肌间置手术。手术特点为将腹直肌外侧 1/ 2肌瓣与后鞘交叉缝合 ,使膀胱真正置于腹直肌之间 ,以加强膀胱排尿功能。结果 术后患者排尿情况明显改善 ,并发症少 ,随访 6~ 36个月 ,疗效满意。结论 改良膀胱腹直肌间置术是一种安全性高、并发症少、疗效显著的方法。

关 键 词:神经原性膀胱  外科  手术
文章编号:1004-5775(2001)01-0019-02
修稿时间:2000年8月11日

Modified Bladder-rectus Muscle Interposition for Treatment of Neurogenic Bladder with Non-reflex Detrusor Urinae Type
PENG Guo-hui,WANG Dong-seng,LIANG Hua-dong,et al.Modified Bladder-rectus Muscle Interposition for Treatment of Neurogenic Bladder with Non-reflex Detrusor Urinae Type[J].Heilongjiang Medical Journal,2001,25(1):19-20.
Authors:PENG Guo-hui  WANG Dong-seng  LIANG Hua-dong  
Abstract:Objective: To improve the surgical effect of the patients of neurogenic bladder with detrusor urinae. Methods: 9 cases of neurogenic bladder with detrusor urinae were performed operation of modified bladder-rectus muscle interposition. The 1/2 lateral rectus muscle was cross-sutured with posterior sheath to locate the bladder within rectus muscle so that to enhance micturition functions of bladder. Results: The micturition function of patients after operation improved obviously with little complication. The curative effect was satisfied after 6~36 months follow-up. Conclusion: This modified operative method might be more safe and marked curative effect with few complication.
Keywords:Neurogenic bladder  Surgery  Operation
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