梅干腹综合征的综合手术治疗：32例患者17年的经验
Comprehensive surgical treatment of prune belly syndrome: 17 years' experience with 32 patients.
作者信息
Dénes Francisco T, Arap Marco A, Giron Amilcar Martins, Silva Frederico A Q, Arap Sami
机构信息
Division of Urology, University of São Paulo Medical School Hospital, São Paulo, Brazil.
出版信息
Urology. 2004 Oct;64(4):789-93; discussion 793-4. doi: 10.1016/j.urology.2004.05.053.
OBJECTIVES
To describe the results of comprehensive surgical management of prune belly syndrome.
METHODS
Thirty-two patients were evaluated and treated for abdominal and genitourinary abnormalities. The surgical procedure, including simultaneous abdominoplasty, bilateral orchiopexy, and urinary tract reconstruction, was performed according to individual needs. At follow-up, the urinary tract, abdominal, and genital anatomy and function were evaluated.
RESULTS
The upper urinary tract anatomy and function were stabilized in 30 patients, and no vesicoureteral reflux was found postoperatively. The bladder drainage was adequate in 29 patients, and 4 presented with recurrent bacteriuria. Abdominoplasty improved flaccidity in 29 patients. Adequate testicular position and consistency were obtained in 54 testes. Complications included acute tubular necrosis (1 patient) and ureterovesical obstruction (3 patients).
CONCLUSIONS
Individualized comprehensive surgical management of prune belly syndrome is effective, with an acceptable incidence of complications and excellent long-term results.
目的
描述梅干腹综合征综合手术治疗的结果。
方法
对32例腹部和泌尿生殖系统异常患者进行评估和治疗。根据个体需求实施手术，包括同期腹壁成形术、双侧睾丸固定术和尿路重建术。随访时，对尿路、腹部和生殖器官的解剖结构及功能进行评估。
结果
30例患者上尿路解剖结构及功能稳定，术后未发现膀胱输尿管反流。29例患者膀胱引流充分，4例出现复发性菌尿。腹壁成形术改善了29例患者的腹壁松弛。54个睾丸获得了合适的位置和质地。并发症包括急性肾小管坏死（1例）和输尿管膀胱梗阻（3例）。
结论
梅干腹综合征个体化综合手术治疗有效，并发症发生率可接受，长期效果良好。
Zotero 插件