CAJ | 학술논문

目的探讨阑尾输出道可控性肠膀胱术在小儿泌尿外科的应用效果。方法报道7例小儿阑尾输出道可控性肠膀胱术治疗经验。男3例女4例，平均年龄8岁。车祸致膀胱、右输尿管及双睾丸缺失1例，先天性完全性尿失禁4例(尿生殖窦畸形、膀胱外翻各1例，短尿道2例)，神经源性膀胱2例。结果 5例(70%)达到预期效果，2例仍有尿自尿道排出。结论阑尾输出道可控性肠膀胱术对需行尿流改道的患儿是一种有效的手术方式。
목적 탐토란미수출도가공성장방광술재소인비뇨외과적응용효과。 방법 보도7례소인란미수출도가공성장방광술치료경험。남3례녀4례，평균년령8세。차화치방광、우수뇨관급쌍고환결실1례，선천성완전성뇨실금4례(뇨생식두기형、방광외번각1례，단뇨도2례)，신경원성방광2례。 결과 5례(70%)체도예기효과，2례잉유뇨자뇨도배출。 결론 란미수출도가공성장방광술대수행뇨류개도적환인시일충유효적수술방식。
Objective To evaluate the use of Mitrofanoff principle in thefield of pediatric urology. Methods From May. 1997 to Dec.1999,the Mirtofanoff principle has been used in 7 children to achieve CIC and urinary continence.The mean age of the patients at operation was 8 years (range 3～14 years).A catheterisable conduit was created using the appendix.Either the cecum,ascending colon or plus the terminal ileum were used instead of the bladder or for augmentation of the bladder after detubularization.7 children consisted of an 8 years old boy has lost his bladder,right ureter and bilateral testis due to traffic accident, 4 children with congenital complete urinary incontinence (urogenital sinus abnormality 1,extrophy of bladder after failed reconstruction 1 and shortened urethra 2),and neurogenic bladder 2. Results Immediate success has been achieved in 5 children (70%),who were completely continent and practiced successful CIC via the Mitrofanoff stoma. Conclusions Use of the Mitrofanoff principle is a valuable procedure for urinary diversion in childhood.