Bladder dysfunction: an integral part of the ectopic ureterocele complex.
Bladder dysfunction: an integral part of the ectopic ureterocele complex.
复制标题
膀胱功能障碍：异位输尿管囊肿的一个组成部分。
DOI：
10.1016/s0022-5347(01)62593-x
复制
发表时间：
1998
影响因子：
6.6
通讯作者：
K. Hjälmås
中科院分区：
文献类型：
--
作者：
K. Abrahamsson;Eje Hansson;U. Sillén;G. Hermansson;K. Hjälmås
目的我们评估异位输尿管膨出患者中膀胱功能障碍是否常见，如果是，是异位输尿管膨出复合体的组成部分还是手术的结果。材料与方法1986~1995年间，34例平均年龄为10个月的异位输尿管膨出患者接受了手术治疗，其中32例参与了术后随访。通过详细的病史和重复的尿流率检测膀胱功能，并通过超声和膀胱测定仪评估剩余尿量。结果32例患者中19例罕见排尿，3例尿失禁。27名患者中有15名(55%)的膀胱容量增加到年龄正常值的150%以上。尿流率测定显示15例(56%)患者的残余尿量大于5ml。术后未发现膀胱颈梗阻的X线征象。膀胱容量和残余尿量的增加与输尿管膨出的大小、位置或手术方式无关。结论异位输尿管膨出患儿高容量膀胱排空障碍的风险较高。异位输尿管膨出相关的膀胱功能障碍似乎不是手术的结果，而是疾病的一个组成部分。
PurposeWe evaluate whether bladder dysfunction is common in patients with ectopic ureterocele and, if so, whether it is an integral part of the ectopic ureterocele complex or a result of surgery.Materials and MethodsFrom 1986 to 1995, 34 patients with a mean age of 10 months were treated for large or medium ectopic ureteroceles at our institution and 32 participated in postoperative followup. Bladder function was investigated by a careful history and repeat uroflowmetry, and residual urine estimation was assessed by ultrasound and cystometry.ResultsOf the 32 patients 19 had infrequent voiding and 3 had incontinence. Cystometric bladder capacity was increased to greater than 150% of the normal value for age in 15 of 27 patients (55%). Uroflowmetry revealed greater than 5 ml. residual urine in 15 patients (56%). Postoperatively no radiological signs of bladder neck obstruction were found. Increased bladder capacity and residual urine did not correlate with ureterocele size or location, or surgical procedure. There was no progression of bladder dysfunction with age.ConclusionsChildren with ectopic ureterocele are at high risk for a high capacity bladder with incomplete emptying. This bladder dysfunction associated with ectopic ureterocele does not seem to be the result of surgery but an integral part of the disorder.