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为探讨治疗神经原性膀胱逼尿肌收缩无力的方法,按神经原性膀胱诊断指标,选16例病人,并经B超或X线证实。采用带蒂游离非管状乙状结肠肌瓣包裹膀胱,两组织裸面粘合成统一体,协同收缩加强逼尿肌收缩力,使排尿通畅。术后观察,12例排尿顺利,4例改善,随访1年以上9例,残余尿量在100ml以下。表明乙状结肠肌瓣收缩力强,与膀胱同属盆神经支配且两者位置相邻近。本术式加强了逼尿肌功能,残余尿量明显减少,是治疗膀胱逼尿肌收缩无力的简单有效的方法。
To explore the treatment of neurogenic bladder detrusor contractility weakness method, according to neurogenic bladder diagnostic indicators, selected 16 patients, and confirmed by B ultrasound or X-ray. The use of pedicled free non-tubular sigmoid colon parietal parietal parietal, the two organizations bare surface adhesion into one, synergistic contraction to enhance detrusor contractility, so that voiding unobstructed. Postoperative observation, 12 cases of urination smooth, 4 cases improved, followed up for more than 1 year in 9 cases, the residual urine volume in 100ml or less. Show that the sigmoid colon muscle contraction strong, with the same bladder vesicular nerve and adjacent to the location of both. This procedure to strengthen the detrusor function, significantly reduced residual urine volume, is a simple and effective treatment of bladder detrusor contraction weakness.