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采用胃膀胱扩大成形术,用于小儿下尿路再建以保护上尿路,控制尿失禁并评价其疗效。3例女性患儿(平均年龄9岁)行带血管蒂胃组织片膀胱扩大成形术。术后随访8个月至2年。3例患儿膀胱容量从术前20~30ml增至250~300ml,2例排尿控制满意,1例能部分控制排尿。上尿路功能改善2例,稳定1例。血浆电解质成分无改变。胃组织的解剖及代谢特点使胃膀胱扩大成形术不失为小儿下尿路再建的一个重要方法。
The use of gastric bladder enlargement angioplasty, for the reconstruction of pediatric lower urinary tract to protect the upper urinary tract, urinary incontinence control and evaluation of its efficacy. Three female patients (mean age 9 years) underwent balloon angioplasty with vascular pedicled gastric tissue. The patients were followed up for 8 months to 2 years. 3 cases of children with bladder capacity increased from preoperative 20 ~ 30ml to 250 ~ 300ml, 2 patients satisfied with the control of urination, 1 case of partial urination control. Upper urinary tract function improved in 2 cases, stable in 1 case. No change in plasma electrolyte composition. Stomach anatomy and metabolic characteristics of the stomach and bladder enlargement surgery is an important method of reconstruction of pediatric lower urinary tract.