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目的探讨肠道膀胱扩大术治疗神经源性膀胱的临床效果。方法选取本院收治的13例神经源性膀胱患者为研究对象,采用回肠保留黏膜层膀胱扩大术。结果 13例患者优良8例,改善5例,无效0例,有效率为100%;膀胱容量由治疗前(171.75±91.16)ml增加到治疗后(306.67±130.54)ml,膀胱逼尿肌压比较上治疗后(21.42±11.87)cmH2O也优于治疗前(43.00±21.12)cmH2O(P<0.05)。结论肠道膀胱扩大术在治疗神经源性膀胱方面具有重要的应用价值,疗效确切,安全可靠。
Objective To investigate the clinical effect of enteral bladder augmentation on neurogenic bladder. Methods Thirteen patients with neurogenic bladder admitted to our hospital were enrolled in this study. The ileal mucosa was used to preserve the bladder. Results The results of 13 cases were excellent in 8 cases, improvement in 5 cases and ineffective in 0 cases, the effective rate was 100%. The bladder capacity increased from 171.75 ± 91.16 ml to 306.67 ± 130.54 ml after treatment, After treatment (21.42 ± 11.87) cmH2O was also better than before treatment (43.00 ± 21.12) cmH2O (P <0.05). Conclusion Intestinal bladder enlargement is of great value in the treatment of neurogenic bladder. The curative effect is exact, safe and reliable.