结核性挛缩膀胱病变特点及手术治疗现状

The Disease Characteristics and Surgical Treatment Status of Tuberculous Contracted Bladder

摘要: 结核性挛缩膀胱是肾结核的晚期严重并发症，其早期症状不典型，随着疾病的进展表现为膀胱逼尿肌病变、储尿功能障碍和肾功能受损等。患者病史久远、症状较重严重影响生命健康和生活质量。目前，结核性挛缩膀胱的治疗以膀胱扩大术为主，但手术方式的选择涉及微创、肠道选择、挛缩组织切除、输尿管再植、术后并发症等具体问题，且诊治经验参差不一。因此提高对疾病的认识、合理选择手术方式、加强术后随访对疾病诊治有重要意义。现结合近年来相关文献对结核性挛缩膀胱的病变特点以及手术治疗现状进行归纳总结。

Abstract: Tuberculous contracted bladder is a serious and late complication of renal tuberculosis, with atypical early symptoms, including bladder detrusor myopathy, urinary storage dysfunction and impaired renal function as the disease progresses. The patient’s health and quality of life are affected by the patient’s long history and severe symptoms. At present, the treatment of tuberculous contracted bladder is mainly bladder augmentation, however, the selection of surgical methods involves such specific problems as minimally invasive surgery, intestinal selection, contracted tissue resection, ureteral replantation, and postoperative complication. What’s more, the diagnosis and treatment experience vary. Therefore, it is of great significance to improve the understanding of the disease, rationally select the surgical method and strengthen the postoperative follow-up for the diagnosis and treatment of the disease. Based on the relevant literatures in recent years, the disease characteristics of tuberculous contracted bladder and the current status of surgical treatment are summarized.