Ileal augmentation angioplasty for the treatment of tuberculous bladder contracture of the surgical method of improving the.docVIP

 PAGE \* MERGEFORMAT 6 Ileal augmentation angioplasty for the treatment of tuberculous bladder contracture of the surgical method of improving the Authors: Yong Wang Xiaokang, Chen Lixin, Chen Cong-bo [Keywords:] bladder to expand angioplasty; bladder contracture; surgical treatment Bladder contracture is a serious complication of urinary tuberculosis and its treatment to the bladder to expand as the main treatment modalities in our hospital from February 1998 -2,005-year in January with ileal augmentation plasty treatment of eight cases of tuberculous bladder contracture patients, achieve good results, reported as follows: 1 Data and methods 1.1 General information on the 8 cases, 5 males and 3 females, aged 28 to 36 years old, with an average 32-year-old history of 2 to 5 years, an average of 3.5 years. 8 patients with renal disease have been removed, the left side in 5 cases, the right side in 3 patients. Pathological examination confirmed the kidney, ureter tuberculosis, intravenous urography (IVU), bladder and urethra bladder spherical imaging showed no urethral stricture, 1 patient had ureteral stenosis, and another 1 case there is ureteral reflux, bladder volume measurements were In the 50 ml less urine, urine look for acid-fast bacilli, TB-DNA in urine were normal, erythrocyte sedimentation rate (ESR) normal. And has been in regular anti-TB treatment. 1.2 method of epidural anesthesia, abdominal incision, free bladder for the bladder near-total removal of the dish to retain the bladder triangle. 15 cm from the ileocecal valve to take terminal ileum 40 cm ileal segment to restore the continuity of the ileum, close the mesenteric opening and go against the free intestines mesangial longitudinal incision margin, arranged in U-shaped, with 2-0 catgut suture into the film , once again folded U-shaped intestinal loop, the edge of the adjacent intestinal stitched together to form a cup-like structure, and closure of peritoneum, placing it outside the pe