Woodhouse C R, Kellett M J, Williams D I
Br J Urol. 1979 Dec;51(6):475-80. doi: 10.1111/j.1464-410x.1979.tb03582.x.
Twenty-seven cases of prune belly syndrome which were well in the neonatal period are reported. Eleven were seen in the first year of life and 16 presented later. The first line of treatment was to ensure proper bladder emptying, usually by urethrotomy. Thereafter a policy of minimal surgical interference was followed, operating only for proven obstruction and intractable infection. This policy appears justified as 10 of 11 early presenters have done well. In the late presenters it was accepted that some renal damage had already occurred; nonetheless, 11 of 16 cases have done well. The X-rays were reviewed and hitherto unreported medullary cysts were noted. No radiological signs were found that were of prognostic significance.
报告了27例在新生儿期情况良好的梅干腹综合征病例。11例在出生后第一年内出现，16例较晚出现。首要治疗措施是确保膀胱充分排空，通常通过尿道切开术。此后遵循尽量减少手术干预的策略，仅对已证实的梗阻和难以控制的感染进行手术。这一策略似乎是合理的，因为11例早期出现症状的患者中有10例情况良好。对于较晚出现症状的患者，人们认为已经发生了一些肾损害；尽管如此，16例中有11例情况良好。对X线片进行了复查，发现了此前未报告的髓质囊肿。未发现具有预后意义的放射学征象。
