本文复习可控性尿道的各种方法及其优缺点。无论何种方法,其最终目的应尽可能与下尿路相似,达到低压集尿和储尿,能随意排空,保护上尿路免于梗阻和尿返流,避免水和电解质代谢紊乱。应用肛门括约肌的可控性尿流改道输尿管乙状结肠吻合术(Ureterosigmoidostomy): 早在五十年代,Leadbetter采用粘膜下隧道法行输尿管结肠粘膜对粘膜直接吻合术,接着Goodwin等采用与之相似的经结肠方法以防止输尿管膀胱再吻合术的返流。其远期效果并不逊于导管手术(Condu- This article reviews various methods of urethra control and its advantages and disadvantages. Regardless of the method, its ultimate goal should be as similar as possible to the lower urinary tract, to achieve low pressure urine collection and urine storage, to be emptied freely, to protect the upper urinary tract from obstruction and urinary reflux, and to avoid water and electrolyte metabolism disorders. Ureterosigmoidostomy: As early as in the 1950s, Leadbetter underwent submucosal tunnel ureteral colonic mucosa direct anastomosis, followed by Goodwin and so on with a similar trans-colon Methods to prevent ureteral re-anastomosis of bladder reflux. Its long-term effect is not inferior to catheter-