Rink R C, Metcalfe P D, Cain M P, Meldrum K K, Kaefer M A, Casale A J
Division of Pediatric Urology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.
J Urol. 2006 Nov;176(5):2205-11. doi: 10.1016/j.juro.2006.07.078.
The surgical treatment of urogenital sinus anomalies has undergone significant advances in recent years. Total urogenital mobilization, which mobilizes the urogenital sinus, vagina and urethra en bloc toward the perineum, represents one of these advances.
We have improved our results with total urogenital mobilization by incorporating the mobilized urogenital sinus tissue into the repair rather than discarding it, as described originally. We have found this a readily available, easily manipulated and well vascularized flap that is a significant aid to reconstruction.
We present our 3 favored means of using the mobilized sinus tissue to create a mucosa lined vestibule, a posterior vaginal wall flap and an anterior vaginal wall flap.
We believe that our techniques result in a further advancement in the cosmetic and surgical outcomes in these patients, and are beneficial in the reconstructive surgery armamentarium.
近年来，泌尿生殖窦畸形的外科治疗取得了显著进展。全泌尿生殖系统游离术，即将泌尿生殖窦、阴道和尿道整体向会阴游离，是其中一项进展。
我们改进了全泌尿生殖系统游离术的效果，将游离的泌尿生殖窦组织用于修复而非如最初所述丢弃。我们发现这是一块易于获取、易于操作且血运良好的皮瓣，对重建有很大帮助。
我们展示了使用游离窦组织形成黏膜内衬前庭、阴道后壁皮瓣和阴道前壁皮瓣的三种常用方法。
我们认为我们的技术使这些患者的美容和手术效果进一步提升，且在重建手术中具有优势。
