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ファイル | 記述 | サイズ | フォーマット | |
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39_747.pdf | 7.64 MB | Adobe PDF | 見る/開く |
タイトル: | 二分脊椎症例における膀胱拡大術の手術適応に関する問題点 : 膀胱拡大術を断念した2症例 |
その他のタイトル: | Unresolved issues concerning the operative indication of augmentation cystoplasty in spina bifida patients: a report of two cases |
著者: | 百瀬, 均 岡島, 英五郎 安川, 元信 吉井, 将人 平田, 直也 山本, 雅司 末盛, 毅 山田, 薫 |
著者名の別形: | Momose, Hitoshi Okajima, Eigoro Yasukawa, Motonobu Yoshii, Masahito Hirata, Naoya Yamamoto, Masashi Suemori, Tsuyoshi Yamada, Kaoru |
キーワード: | Augmentation cystoplasty Spina bifida Operative indication |
発行日: | Aug-1993 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 39 |
号: | 8 |
開始ページ: | 747 |
終了ページ: | 752 |
抄録: | Augmentation cystoplasty is evolving into a common method of surgical treatment for a low capacity and/or low compliance neurogenic bladder. Although an increasing number of successful results have been recently reported, the operative indication of augmentation cystoplasty is yet to be established. Herein, we report two cases of neurogenic bladder due to spina bifida which required abandonment of augmentation cystoplasty. The first case was in a 23-year-old female with a severely deformed bladder and right vesicoureteral reflux (VUR). She refused to undergo ileocystoplasty because we could not assure her of postoperative conception which she eagerly anticipated. The second case was in a 19-year-old male with a severely deformed bladder and right VUR. He experienced recurrent episodes of ventriculoperitoneal shunt (V-P shunt) difficulty which required exchanging the shunt tube each time, and each exchange proved to be very difficult or nearly impossible. Based on lengthy neurosurgical consultation, we came to the conclusion that ileocystoplasty was not a preferable treatment of choice for the correction of his disease due to the possibility of V-P shunt infection, which could be fatal. Alternatively, both cases were treated with Cohen's ureteral reimplantation, which resulted in the recurrence of VUR. These cases presented still unresolved issues concerning the operative indication of augmentation cystoplasty in spina bifida patients. |
URI: | http://hdl.handle.net/2433/117903 |
PubMed ID: | 8379477 |
出現コレクション: | Vol.39 No.8 |
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