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坐骨压力性溃疡手术中行根治性坐骨切除术后的尿瘘

Urinary fistulae after radical ischiectomies in surgery of ischial pressure sores.

作者信息

Eltorai I, Khonsari F, Montroy R, Comarr A E

出版信息

Paraplegia. 1985 Dec;23(6):379-85. doi: 10.1038/sc.1985.60.

Abstract

In the early fifties, total ischiectomy was in vogue as a procedure in the surgical treatment of ischial pressure sores. The immediate results by various authors were impressive. One of us, however (A.E.C.), reported the later development of urethral fistulae and the high incidence of perineal urethral diverticulae. The procedure has been abandoned and few surgeons recommend less radical ischiectomy supplemented by muscle transplantation.

摘要

在五十年代早期,全坐骨切除术作为坐骨压迫性溃疡外科治疗的一种手术方法盛行一时。不同作者报告的近期疗效令人印象深刻。然而,我们中的一人(A.E.C.)报告了尿道瘘的后期发展以及会阴尿道憩室的高发生率。该手术已被摒弃,很少有外科医生推荐辅以肌肉移植的不太彻底的坐骨切除术。

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