Cervellione Raimondo M
Department of Paediatric Urology, Royal Manchester Children's Hospital, Manchester, UK.
Semin Pediatr Surg. 2011 May;20(2):119-22. doi: 10.1053/j.sempedsurg.2011.01.002.
Cloacal exstrophy is the most severe congenital malformation within the exstrophy spectrum. Its successful treatment requires a dedicated multidisciplinary exstrophy team that includes a pediatric orthopedic surgeon familiar with the exstrophy complex. In 1995, Ben-Chaim et al (J Urol 1995;154:865-7) reported an 89% complication rate in those cloacal exstrophy patients closed primarily without a pelvic osteotomy and a 17% complication rate in those closed with an osteotomy. Therefore, the use of pelvic osteotomy is a well-established method of obtaining a successful cloacal exstrophy closure. This article reviews the different options available for pelvic osteotomy and stabilization of the pubic symphysis in patients with cloacal exstrophy.
泄殖腔外翻是外翻谱系中最严重的先天性畸形。其成功治疗需要一个专门的多学科外翻治疗团队，其中包括一名熟悉外翻综合征的小儿骨科医生。1995年，本 - 查伊姆等人（《泌尿外科杂志》1995年；154:865 - 87）报告称，在未进行骨盆截骨术而直接闭合的泄殖腔外翻患者中，并发症发生率为89%，而在进行截骨术闭合的患者中，并发症发生率为17%。因此，骨盆截骨术的应用是实现泄殖腔外翻成功闭合的一种成熟方法。本文回顾了泄殖腔外翻患者骨盆截骨术和耻骨联合稳定的不同可用选择。
