Peters C A, Hendren W H
Children's Hospital, Boston, Massachusetts.
Urol Clin North Am. 1990 Feb;17(1):37-45.
We have presented our technique for and experience with splitting the symphysis to provide wide exposure in reconstructive surgery for incontinence. Our experience has demonstrated that the technique is widely applicable to many reconstructive situations in patients of all ages. We believe that spreading the pubic symphysis provides access to the urethra and bladder neck not otherwise possible and regard it as an important factor in the success of many difficult operations to correct incontinence. Although seemingly a radical maneuver, it did not cause complications in any of 51 cases.
我们已经介绍了耻骨联合分离技术以及我们在重建性尿失禁手术中运用该技术以获得广泛术野的经验。我们的经验表明,该技术广泛适用于各年龄段患者的多种重建手术情况。我们认为,耻骨联合撑开可提供进入尿道和膀胱颈的途径,而这是其他方法无法做到的,并且我们将其视为许多纠正尿失禁的困难手术取得成功的一个重要因素。尽管这一操作看似激进,但在51例患者中均未引发并发症。