Gibbon A J, Maffulli N, Fixsen J A
Hospitals for Sick Children, London, England.
J Bone Joint Surg Br. 1991 Nov;73(6):896-8. doi: 10.1302/0301-620X.73B6.1955431.
We have treated 11 patients aged three days to 15 years with bladder exstrophy by horizontal osteotomies of the innominate bones. The operation was originally used for older patients with severe deformity or failed previous surgery but is now applied as a primary procedure in the first week of life. The osteotomies enable the complex malformations to be corrected in a single operation without turning the patient: the pubic bones can be brought together, the abdominal wall repaired and the bladder closed with reconstruction of the urethra and external genitalia. The early results have been very satisfactory in all cases with only minor complications; we felt that a preliminary report should be made, despite a mean follow-up of only seven months.
我们采用耻骨支水平截骨术治疗了11例年龄从3天至15岁的膀胱外翻患者。该手术最初用于年龄较大、畸形严重或既往手术失败的患者，但现在已作为出生后第一周的一期手术应用。截骨术可在一次手术中矫正复杂畸形，无需翻动患者：可使耻骨并拢，修复腹壁，关闭膀胱并重建尿道和外生殖器。所有病例的早期结果都非常令人满意，仅出现轻微并发症；尽管平均随访时间仅7个月，我们仍认为应撰写一份初步报告。
