摘要
目的探讨胃代膀胱术后的生理机能及临床效果。方法对１４例胃代膀胱患者进行术后随访，检测血清胃泌素、电解质、尿液ｐＨ值等，并与尿动力学、影像学结果进行综合分析。结果随访６～７３个月，术后血清胃泌素、电解质、尿液ｐＨ值均在正常范围，贮尿囊排尿期压力２１．４～３８．８ｃｍＨ２Ｏ，小于正常值；胃代膀胱造影未见输尿管返流，双肾无积水，代膀胱粘膜活检为慢性炎症，免疫组化检查Ｇ细胞较正常减少。结论胃代膀胱术后并发症少，相关生理指标接近正常，在临床上值得推广。
bjective To evaluate gastrocystoplasty on the basis of a clinical study. Methods 14 cases underwent gastrocystoplasty have been studied and evaluated. ResultsBZThe patients have been followed up for 673 months and the serum gastrin,urine pH,blood electrolytes were all within the nomal range.The intraurine reservoir pressure on urinating ranged from 21.4 cmH2O to 38.8 cmH2O,being below the normal level.Neither urine reflux nor hydronephrosis has been observed.Biopsies of the gastric mucosa revealed chronic inflammation and a decrease of parietal cells.The antral Gcell density on immunohistochemical study wes less than normal. Conclusions Gastrocystoplasty has few adverse side effects and worth popularizing.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第8期491-493,共3页
Chinese Journal of Urology
