腸道膀胱擴(kuò)大術(shù)治療神經(jīng)源性膀胱的臨床療效探討

秦光明 方利強(qiáng)

[摘要] 目的 探討腸道膀胱擴(kuò)大術(shù)治療神經(jīng)源性膀胱的臨床療效。 方法 隨機(jī)選擇2012年10月—2014年10月于該院就診的神經(jīng)源性膀胱患者70例，隨機(jī)將患者分為觀察組與對(duì)照組，對(duì)照組采用膀胱自擴(kuò)大術(shù)進(jìn)行治療，觀察組患者使用腸道膀胱擴(kuò)大術(shù)進(jìn)行治療，比較兩組患者的臨床治療效果。 結(jié)果 觀察組患者治療有效率明顯優(yōu)于對(duì)照組患者（P<0.05），差異有統(tǒng)計(jì)學(xué)意義；兩組患者并發(fā)癥的發(fā)生率差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。 結(jié)論 腸道膀胱擴(kuò)大術(shù)治療神經(jīng)源性膀胱療效顯著，并發(fā)癥較少，值得臨床推廣應(yīng)用。

[關(guān)鍵詞] 神經(jīng)源性膀胱；腸道膀胱擴(kuò)大術(shù)；膀胱自擴(kuò)大術(shù)；臨床療效

[中圖分類號(hào)] R72 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2015）05（a）-0040-02

Clinical Afficacy of Intestinal Bladder Augmentation Treatment of Neurogenic Bladder

QIN Guang-ming1，F(xiàn)ANG LI-qiang2

1.Huangzhou District cerebrovascular disease hospital，Huanggang，Hubei Province，438000 China；2.Centers for Disease Control and Prevention of Huanggang City， Huanggang，Hubei Province，438000 China

[Abstract] Objective To observe the clinical curative effect of the intestinal bladder expanding technique for the treatment of neurogenic bladder. Methods 70 cases of neurogenic bladder patients who were received and cured in our hospital from October 2012 to October 2014 were selected.Al patients were divided into observation group and control group.Control group was treated with bladder auto-augmentation and observation group was given the intestinal bladder expanding technique for treatment.To compare the clinical treatment effect of patients in the two groups. Results The total effective rate for observation group was significant different from control group（P<0.05）.There are not significant difference in the two group in the incidence of complications（P>0.05）. Conclusion The intestinal bladder expanding technique has definite effects for treatment of neurogenic bladder，which have fewer complications and is worthy in clinical application.

[Key words] Neurogenic bladder；The intestinal bladder expanding technique；Bladder auto-augmentation； Clinical curative effect

神經(jīng)源性膀胱是一種神經(jīng)系統(tǒng)病變所導(dǎo)致的膀胱、尿道等部位的功能性障礙，造成患者表現(xiàn)出一系列的下尿路癥狀的疾病，隨著疾病的進(jìn)展，患者往往容易出現(xiàn)腎功能衰竭等嚴(yán)重的并發(fā)癥威脅其生命健康安全[1]。因此，對(duì)神經(jīng)源性膀胱患者進(jìn)行早期手術(shù)治療極具有必要性。腸道膀胱擴(kuò)大術(shù)是治療神經(jīng)源性膀胱的金標(biāo)準(zhǔn)，該種治療方法是通過(guò)建立大容量、順應(yīng)性較高的儲(chǔ)尿囊改善患者尿失禁等癥狀，改善其尿路功能的[2]。該研究選取2012年10月—2014年10月間該院收治的神經(jīng)源性膀胱患者70例為研究對(duì)象，對(duì)神經(jīng)源性膀胱患者進(jìn)行腸道膀胱擴(kuò)大治療術(shù)，取得了較好的治療效果，現(xiàn)將研究成果總結(jié)如下。

1 資料與方法

1.1 一般資料

選擇該院就診的神經(jīng)源性膀胱患者70例，隨機(jī)將患者分為觀察組和對(duì)照組，其中觀察組35例，男性21例，女性14例；……