THE EFFECT OF GASTRIC AUGMENTATION ON BLADDER FUNCTION
THE EFFECT OF GASTRIC AUGMENTATION ON BLADDER FUNCTION
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DOI：
10.1016/s0022-5347(17)36307-3
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发表时间：
1993-05-01
影响因子：
6.6
通讯作者：
RETIK, AB
中科院分区：
文献类型：
--
作者：
ATALA, A;BAUER, SB;RETIK, AB
29 名女性和 14 名男性患者接受了胃囊成形术，年龄为 1 至 23 岁（平均年龄 11 岁）。 20 名患者在术前和术后 6 个月内完成了尿动力学研究。将术后研究与术前评估进行比较时，发现总体能力平均增加了 220%（范围 20% 至 750%）。术后依从性也显着提高。膀胱压力从术前平均容量的 34% 增加到增强后容量的 73%。平均最大填充压力降低了 32%，从 57 厘米降至 39 厘米。水。术前接受过收缩治疗的 10 名患者中有 6 人完全缓解了不受抑制的宫缩。术后没有人出现不受抑制的宫缩。胃段周期性收缩不超过50厘米。 6 名患者出现水样。胃补片似乎是改善大多数患者功能不良的逼尿肌动态的充足来源。当一块菱形的胃被收获并添加到膀胱中时，就会形成一个球形结构，从而增强了储存性能。这一结果与其他肠段形成鲜明对比，其他肠段必须去管以产生合适的储存器。胃增大术的长期效果仍有待确定。
Gastrocystoplasty was performed in 29 female and 14 male patients 1 to 23 years old (average age 11 years). Urodynamic studies were completed in 20 patients preoperatively and within 6 months postoperatively. When postoperative studies were compared with the preoperative evaluation, it was noted that overall capacity increased an average of 220% (range 20 to 750%). Compliance also improved dramatically postoperatively. Bladder pressures increased from a mean volume of 34% of capacity preoperatively to 73% of the post-augment capacity. The average maximum filling pressure decreased by 32%, from 57 to 39 cm. water. Uninhibited contractions resolved completely in 6 of 10 patients who had them preoperatively. No one had uninhibited contractions postoperatively. Cyclical contractions of the stomach segment not exceeding 50 cm. water developed in 6 patients.The gastric patch seems to be an adequate source for improving the dynamics of a poorly functioning detrusor muscle in most patients. When a diamond-shaped patch of stomach is harvested and added to the bladder a spherical configuration is created, enhancing the storage properties. This result is in sharp contrast to other bowel segments, which must be detubularized to produce a suitable reservoir. The long-term effects of gastric augmentation remain to be determined.