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修复膀胱壁缺损关键是恢复膀胱容量和功能。由于泌尿道能重新长出上皮和平滑肌,而利用各种生物学的及生物不可降解的移植物和各种合成材料作为暂时的再生支架,又能促进膀胱壁创口愈合,闭合膀胱壁缺损,直至膀胱完全再生,故可成功地重建缺损的膀胱。作者介绍一种手术方法,认为优于现行的其他各法。方法是:先在子宫表面从后壁到前壁标出欲片取的长方形子宫肌片的范围,再从子宫表面连带腹膜片成约3mm厚的子宫肌片。其形状要与膀胱的缺损相称。子宫壁创面出血很少,可用烧灼法止血。将膀胱缺损处边缘造成创面,用4-0Dexon缝线将子宫肌片间断缝在膀胱缺损处。行耻上膀胱造瘘,尿道亦留置Foley氏尿管3～4天。膀胱造瘘6周后行膀胱造影,若已无外渗,则阻断尿管,如能正常排尿再拔除尿管。
Repair bladder wall defect is the key to restore bladder capacity and function. Because the urinary tract can regrow the epithelium and smooth muscle, and use a variety of biological and biological non-degradable graft and a variety of synthetic materials as a temporary regenerative scaffold, but also to promote wound healing of the bladder wall, closing the bladder wall defects until Bladder completely regenerated, it can successfully reconstruct the defect of the bladder. The author describes a surgical procedure that is superior to other current practices. The method is: first in the uterine surface from the posterior wall to the anterior wall marked for the film to take the scope of rectangular uterine muscle sheet, and then from the uterine surface with peritoneal film into about 3mm thick uterine muscle sheet. Its shape should be commensurate with the defect of the bladder. Uterine wall wound bleeding is small, available burning method to stop bleeding. The edge of the bladder defect caused by wounds, with 4-0Dexon suture uterine muscle piece intermittent seams in the bladder defect. Line shame on the bladder fistula, urethra also retained Foley catheter 3 to 4 days. Bladder ostomy 6 weeks after the line of cystography, if no extravasation, then block the catheter, such as normal urination and then remove the catheter.