膀の機能と機能不全は,エクストロフィーとエピスパディアで起こります

J G Hollowell¹, P D Hill, P G Duffy

¹Department of Paediatric Urology, St Peter's Hospitals, London, UK.

Lancet (London, England)

|October 12, 1991

まとめ

膀エクストロフィーとエピスパディアスの評価は,手術後の膀機能障害を明らかにしています. 詳細な機能検査は,これらの先天性尿路異常の管理に不可欠です.

科学分野:

小児泌尿器科小児泌尿器科
生まれながらの異常生まれながらの異常
下部尿路機能下部尿路機能

背景:

膀エクストロフィーとエピスパディアスは,先天性尿路異常である.
再建前のおよび後の前回の膀機能評価は限られている.
最適な治療戦略には,膀機能のよりよい理解が必要です.

研究の目的:

膀エクストロフィーとエピスパディアスを有する小児における下部泌尿器官機能を将来的に評価する.
膀頸部再建前後の膀機能を評価する.
尿道漏れや尿路上部損傷に寄与する要因を特定する.

主な方法:

膀エクストロフィーとエピスパディアスを患った36人の子供 (1.5〜16歳) の前向きな研究.
低尿路機能は,シストメトリーとシストグラフィによって評価される.
超音波画像を用いた上部尿路の評価.

主要な成果:

膀の正常な機能は,一次性エピスパディアスの症例で観察される.
抑留のための従来の膀頸部手術では,膀機能がひどく低下します.
持続的な尿漏れの原因として特定された不自発的な膀収縮.
異常は膀の容量の発達を阻害し,上部尿路に損傷を与える可能性があります.

結論:

従来の膀頸部手術は,膀エクストロフィーとエピスパディアスの最適な治療法ではないかもしれません.
閉じたエクストロフィー膀は正常な機能を達成できない.
非自発的な膀収縮は,手術後の重要な問題です.
これらの患者には,日常的な詳細な機能検査が推奨されます.

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