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Outcomes of seromuscular bladder augmentation compared with standard bladder augmentation in the treatment of children with neurogenic bladder

引用

World Journal of Clinical Cases 2022年第23期10卷 8115-8123页

作者： Xiao-Gang Sun Yan-Xia Li Long-Fei Ji Jia-Long Xu Wei-Xiu Chen Ruo-Yi Wang Department of Pediatric Surgery The Second HospitalCheeloo College of MedicineShandong UniversityJinan 250033Shandong ProvinceChina Department of Neurology Shandong Second Provincial General HospitalShandong Provincial ENT HospitalJinan 250011Shandong ProvinceChina Department of Pediatric Surgery Dongying District People’s HospitalDongying 257000Shandong ProvinceChina

BACKGROUND Intestinal seromuscular bladder augmentation(SMBA)surgery has produced no mucosal-related complications,but its outcomes need to be *** To evaluate the safety and effectiveness of SMBA in the treatment of children with neurogenic *** A retrospective analysis of the clinical data of children with SMBA was performed from March 2008 to February 2018,and the data were compared with those of children receiving standard cystoplasty(SC).RESULTS In a cohort of 67 children who underwent bladder augmentation,the 46 children in the SC group had an average age of 10.6 years and a follow-up time of 36 mo,and the 21 children in the SMBA group had an average age of 7.6 years and a follow-up time of 29.7 *** preoperative and postoperative bladder volumes in the SMBA group were 151.7 mL and 200.4 mL,respectively,and those in the SC group were 173.9 mL and 387.0 mL,*** significant difference in preoperative urinary dynamic parameters was found between the two groups,but the difference after operation was statistically *** main complications after SMBA were residual ureteral reflux and failed bladder augmentation,with incidences of 33.3%and 28.6%,*** all 6 patients with failed augmentation in the SMBA group,ileum seromuscular patches were used for augmentation,and SC was chosen for *** reoperation,patch contracture and fibrosis were *** The improvement of urinary dynamic parameters in the SMBA group was significantly lower than that in the SC *** with SMBA had a higher probability of patch contracture and reaugmentation,which might be related to impaired blood supply and urine stimulation,and the sigmoid colon patch should be the priority.

关键词： Neurogenic bladder seromuscular bladder augmentation bladder Surgery Urinary dynamic parameter

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