• 医学文献
  • 知识库
  • 评价分析
  • 全部
  • 中外期刊
  • 学位
  • 会议
  • 专利
  • 成果
  • 标准
  • 法规
  • 临床诊疗知识库
  • 中医药知识库
  • 机构
  • 作者
热搜词:
换一批
论文 期刊
取消
高级检索

检索历史 清除

医学文献 >>
  • 全部
  • 中外期刊
  • 学位
  • 会议
  • 专利
  • 成果
  • 标准
  • 法规
知识库 >>
  • 临床诊疗知识库
  • 中医药知识库
评价分析 >>
  • 机构
  • 作者
热搜词:
换一批

可控膀胱增强缩窄回肠控制机制的尿动力学研究

Urodynamic study of enhanced continent mechanism using tapered ileum as continent urinary reservoir

摘要:

目的探讨贮尿囊与腹壁的壁外支持对增强缩窄回肠控尿能力的作用.方法 24例尿流改道的病人采用缩窄的回肠作为输出管,并将部分输出管固定在回肠贮尿囊与腹壁之间,输出管的内口与回肠贮尿囊作端侧吻合,其外口与脐孔作端端防狭窄吻合的手术方法治疗.术后1.5-3个月和6-24个月分别对输出管和贮尿囊作尿动力学检查.结果 1例术后55天死于心脏疾病,余23例中22例术后昼夜能控制尿.术后1.5-3个月尿动力学检查示贮尿囊充盈时输出管最大闭合压为46±124 cmH2O(91.26±15.71 cmH2O),空虚时34-84 cmH2O(67±10.60 cmH2O),两者间差异有显著意义(t=-11.78, P<0.0001); 6-24个月18例行尿动力学检查,贮尿囊充盈时输出管最大闭合压为80-194 cmH2O (98.89±26.34 cmH2O),空虚时为64-128 cmH2O ( 74.78±14.54 cmH2O),两者差异有显著性意义(t=-7.58, P<0.0001).贮尿囊容量为420-750 ml (481.67±78.83 cmH2O); 贮尿囊注入50 ml生理盐水时内压为6-9 cmH2O (7.17±1.17 cmH2O);贮尿囊充盈时内压为16-35 cmH2O (24.12±5.61 cmH2O),充盈过程中没有收缩波出现.结论此研究提示贮尿囊与腹壁的壁外支持可明显增强缩窄回肠的控尿能力.

更多
abstracts:

Objective To investigate the effect of extramural support from the pouch and abdominal wall to enhance the continent mechanism of tapered ileum. Methods A total of 24 patients underwent a procedure in which an ileal segment was tapered into an efferent tube, of which a part was placed between the back surface of the rectus muscle and the ileal pouch wall. The internal orifice of the tapered ileum was anastomosed to the ileal pouch and its external orifice was anastomosed to the umbilicus. A urodynamic study of the efferent tubes and pouch was done 1.5 to 3 months and 6 to 24 months postoperatively. Results One patient died of heart disease 55 days postoperatively, while 22 of the remaining 23 were completely continent day and night. At 1.5 to 3 months, the urodynamic study of the efferent tubes demonstrated that the maximum closure pressure with a full pouch was 46-124 cmH20 (91.26±15.71 cmH20)and with an empty pouch was 34-84 cmH20 (67±10.60 cmH20). The difference in mean maximum closure pressure in the full and empty pouches was statistically significant (t=-11.78 and P=0.00001). At 6 to 24 months, a second urodynamic study was performed on 18 cases, demonstrating a reservoir capacity of 420 to 750 ml (481.67±78.83 ml). Reservoir pressure was 6 to 9 cmH2O (7.17±1.17 cmH20) when the pouch was filled to 50 ml, and 16 to 35 cmH2O (24.12±5.61 cmH20) when it was filled to maximum capacity. There was no contractive wave during the filling in any patient. Maximum closure pressure in the efferent tube was 80 to 194 cm H2O (98.89±26.34 cmH20) when the pouch was filled with saline, and 64 to 128 cmH2O (74.78±14.54 cmH20) when the pouch was empty. The difference in mean maximum closure pressure in the full and empty pouches was statistically significant (t=-7.58 and P=0.00003). Conclusions This study indicates that the continent mechanism of tapered ileum may be greatly enhanced by extramural support from the abdominal and pouch walls.

More
作者: 徐月敏 [1] 乔勇 [1] 陈忠 [1] 张心如 [1] 陈嵘 [1] 撒应龙 [1] 张炯 [1] 李涛 [1] 吴登龙 [1]
期刊: 《中华医学杂志(英文版)》2002年115卷11期 1653-1656页 SCIMEDLINEISTICCSCDBP
分类号: R69
栏目名称: 论著
DOI: 10.3760/cma.j.issn.0366-6999.2002.11.112
发布时间: 2004-01-08
基金项目:
the State Education Science Foundation of China
翻译满意度评价:
提交
  • 浏览:124
  • 下载:8

加载中!

相似文献

  • 中文期刊
  • 外文期刊
  • 学位论文
  • 会议论文

加载中!

加载中!

加载中!

加载中!

扩展文献

特别提示:本网站仅提供医学学术资源服务,不销售任何药品和器械,有关药品和器械的销售信息,请查阅其他网站。

  • 客服热线:4000-115-888 转3 (周一至周五:8:00至17:00)

  • |
  • 客服邮箱:yiyao@wanfangdata.com.cn

  • 违法和不良信息举报电话:4000-115-888,举报邮箱:problem@wanfangdata.com.cn,举报专区

官方微信
万方医学小程序
new翻译 充值 订阅 收藏 移动端

官方微信

万方医学小程序

使用
帮助
Alternate Text
调查问卷