[加布里埃尔·图雷大学医院儿童膀胱外翻的管理]
[Management Of Blader Exstrophy In Children At The CHU Gabriel Touré].
作者信息
Amadou I, Coulibaly Y M, Coulibaly O M, Konaté D, Coulibaly Y, Coulibaly M T, Maiga B, Doumbia A, Traoré F, Karembé B, Djire M K, Kamate B, Daou M B, Barry A, Cissé M E, Coulibaly O, Dembélé A
机构信息
Service de chirurgie pédiatrique, CHU Gabriel TOURE, Bamako, Mali.
Service de Pédiatrie, CHU Gabriel Touré, Bamako, Mali.
出版信息
Mali Med. 2023;38(3):44-47.
AIMS
To describe the clinical and evolutionary aspects of the primary closure of exstrophy at the CHU Gabriel Touré.
MATERIALS AND METHODS
This was a retrospective and prospective study carried out from January 2014 to December 2019 in all the children admitted and operated on for bladder exstrophy at the CHU Gabriel Touré.
RESULTS
We collected 35 cases of exstrophy, ie25 boys and 10 girls. The mean age at diagnosis was 4.8 months. The bladder plate was both normal and budded, ie 28.6% of cases. Plaque infection was found in 45.7%. A malformation was associated in 34.3% of cases. Primary plaque closure was achieved in all of our patients. Postoperative morbidity was 28.6% of cases and mortality 11.4% of cases.
CONCLUSION
Bladder exstrophy is a rare malformation of the urogenital sphere, its management is complex and its mortality is not null.
目的
描述在加布里埃尔·图雷大学医院对膀胱外翻进行一期缝合的临床及演变情况。
材料与方法
这是一项回顾性和前瞻性研究，于2014年1月至2019年12月在加布里埃尔·图雷大学医院对所有因膀胱外翻入院并接受手术的儿童进行。
结果
我们收集了35例膀胱外翻病例，其中25例为男孩，10例为女孩。诊断时的平均年龄为4.8个月。膀胱板正常及呈芽状的情况均有，占病例的28.6%。发现45.7%的病例有菌斑感染。34.3%的病例伴有畸形。我们所有患者均实现了一期菌斑缝合。术后发病率为病例的28.6%，死亡率为病例的11.4%。
结论
膀胱外翻是泌尿生殖系统的一种罕见畸形，其治疗复杂且死亡率不为零。
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