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采用本院设计的膀胱腹直肌间置术治疗神经原性膀胱39例,效果良好。认为,手术成功的关键是适应证的选择,主要治疗逼尿肌无反射而尿道压正常的患者。术后定期随访十分重要,随诊中应注意残余尿量,有无尿路感染及结石,必要时行尿流动力学检查,发现问题及时处理,以免影响疗效及损害肾功能。
In our hospital, 39 cases of neurogenic bladder were treated with bladder rectus abdominis intervertebralis. The results were good. That the key to the success of surgery is the indication of indications, the main treatment of detrusor without reflex urethral pressure in patients with normal. Regular follow-up after surgery is very important, follow-up should pay attention to residual urine volume, urinary tract infection with stones and if necessary, urodynamic examination, the timely detection of problems, so as not to affect the efficacy and damage to renal function.