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[重度尿道上裂中德扎温括约肌成形术的改良及耻骨联合分离的消除]

[Modification of Derzhavin sphyncteroplasty and elimination of symphysis diastasis of the pubic bone in severe epispadia].

作者信息

Salimov Sh T, Khudoĭnazarov Kh Kh, Fakirov A Z

出版信息

Urologiia. 2009 Sep-Oct(5):59-61.

PMID:20213914
Abstract

In 1990-2006 Tashkent Medical Academy Clinic admitted 71 patients (63 boys and 8 girls) with subtotal and total forms of epispadia which in some cases combined with extrophy of the bladder. Thirty-nine patients of this group were treated with conventional Derzhavin sphynctroplasty with suturing the borders of the pubic symphysis. Urinary incontinence was eliminated partially or completely in 72.3% cases, diastasis of pubic symphasis was not corrected. Thirty two patients were treated with modified Derzhavin sphyncteroplasty and an original technique of symphysis diastasis correction. Good and satisfactory results were obtained in 90.6% patients. X-ray detected no cases of divergence of symphysis 2 months after surgery.

摘要

1990年至2006年期间,塔什干医学院诊所收治了71例阴茎头型和完全型尿道上裂患者(63例男孩,8例女孩),部分病例合并膀胱外翻。该组中有39例患者接受了传统的德尔扎温括约肌成形术,缝合耻骨联合边缘。72.3%的病例尿失禁得到部分或完全消除,耻骨联合分离未得到纠正。32例患者接受了改良的德尔扎温括约肌成形术和耻骨联合分离矫正的原创技术。90.6%的患者取得了良好和满意的效果。术后2个月X线检查未发现耻骨联合分离病例。

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