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膀胱外翻:当前的治疗与术后影像学检查

Bladder exstrophy: current management and postoperative imaging.

作者信息

Pierre Ketsia, Borer Joseph, Phelps Andrew, Chow Jeanne S

机构信息

Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA,

出版信息

Pediatr Radiol. 2014 Jul;44(7):768-86; quiz 765-7. doi: 10.1007/s00247-014-2892-5. Epub 2014 Jun 18.

DOI:10.1007/s00247-014-2892-5
PMID:24939762
Abstract

Bladder exstrophy is a rare malformation characterized by an infra-umbilical abdominal wall defect, incomplete closure of the bladder with mucosa continuous with the abdominal wall, epispadias, and alterations in the pelvic bones and muscles. It is part of the exstrophy-epispadias complex, with cloacal exstrophy on the severe and epispadias on the mild ends of the spectrum. Bladder exstrophy is the most common of these entities and is more common in boys. The goal of this paper is to describe common methods of repair and to provide an imaging review of the postoperative appearances.

摘要

膀胱外翻是一种罕见的畸形,其特征为脐下腹壁缺损、膀胱未完全闭合且黏膜与腹壁相连、尿道上裂以及骨盆骨骼和肌肉的改变。它是膀胱外翻-尿道上裂复合体的一部分,泄殖腔外翻处于该谱系的严重端,尿道上裂处于轻度端。膀胱外翻是这些病症中最常见的,且在男性中更为常见。本文的目的是描述常见的修复方法并提供术后表现的影像学综述。

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本文引用的文献

1
Embryonic origin and remodeling of the urinary and digestive outlets.尿生殖窦和消化管道的胚胎起源和重塑。
PLoS One. 2013;8(2):e55587. doi: 10.1371/journal.pone.0055587. Epub 2013 Feb 4.
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How dry is dry? A review of definitions of continence in the contemporary exstrophy/epispadias literature.干燥到何种程度才算干燥?对当代脐膨出/尿道下裂文献中关于控尿的定义的综述。
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Congenital renal anomalies in patients with classic bladder exstrophy.经典型膀胱外翻患者的先天性肾脏异常。
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6
Bladder neck reconstruction is often necessary after complete primary repair of exstrophy.膀胱颈部重建术在完全初次修复膀胱外翻后通常是必要的。
J Urol. 2011 Jun;185(6 Suppl):2563-71. doi: 10.1016/j.juro.2011.01.024. Epub 2011 Apr 28.
7
The role of osteotomy in surgical repair of bladder exstrophy.截骨术在膀胱外翻手术修复中的作用。
Semin Pediatr Surg. 2011 May;20(2):71-8. doi: 10.1053/j.sempedsurg.2010.12.002.
8
Augmentation cystoplasty and risk of neoplasia: fact, fiction and controversy.膀胱扩大术与肿瘤风险:事实、虚构与争议。
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9
Surgery Insight: advantages and pitfalls of surgical techniques for the correction of bladder exstrophy.手术洞察:膀胱外翻矫正手术技术的优势与陷阱
Nat Clin Pract Urol. 2006 Feb;3(2):95-100. doi: 10.1038/ncpuro0407.
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Early outcome following complete primary repair of bladder exstrophy in the newborn.新生儿膀胱外翻一期完全修复后的早期结果
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