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目的 探讨阑尾输出道可控性肠膀胱术在小儿泌尿外科的应用效果。 方法 报道 7例小儿阑尾输出道可控性肠膀胱术治疗经验。男 3例女 4例 ,平均年龄 8岁。车祸致膀胱、右输尿管及双睾丸缺失 1例 ,先天性完全性尿失禁 4例 (尿生殖窦畸形、膀胱外翻各 1例 ,短尿道 2例 ) ,神经源性膀胱 2例。 结果 5例 (70 % )达到预期效果 ,2例仍有尿自尿道排出。 结论 阑尾输出道可控性肠膀胱术对需行尿流改道的患儿是一种有效的手术方式。
Objective To investigate the application of the controllable bowel duodenal approach in pediatric urology. Methods Report of 7 cases of pediatric appendiceal output control of bowel and bladder surgery experience. 3 males and 4 females, with an average age of 8 years old. Car accident caused by the bladder, right ureter and testicles in 1 case, 4 cases of congenital total incontinence (genital sinus abnormalities, 1 case of bladder eversion, 2 cases of short urethra), 2 cases of neurogenic bladder. Results 5 cases (70%) achieved the expected results, 2 cases of urinary urethral discharge. Conclusion The control of appendix output duodenum is an effective surgical method for children with urinary diversion.