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分期功能重建手术治疗膀胱外翻(作者译)

[Surgical treatment of bladder exstrophy by functional reconstruction by stages (author's transl)].

作者信息

Montagnani C A

出版信息

J Urol Nephrol (Paris). 1979 Mar;85(3):155-71.

PMID:480415
Abstract

A brief summary is given of the clinical statistical findings in 37 patients with exstrophy of the bladder, most of the whom have been reported in a previous paper. Four cases are presented for whom the method of operating by stages was applied. They have now been followed up for 17, 10, 8 and 6 years respectively and a very satisfactory functional result was obtained. The experience gained from the use of such a method clearly indicates that treatment should be carried out, whenever possible, by a one-stage operation, or by two stages within a short period of time, and at an early age. Two cases operated upon by this latter method of total primary functional reconstruction, with very encouraging morphological results, are reported.

摘要

本文简要总结了37例膀胱外翻患者的临床统计结果,其中大多数病例已在之前的一篇论文中报道。现介绍4例采用分期手术方法治疗的病例。目前对这4例患者分别进行了17年、10年、8年和6年的随访,均取得了非常满意的功能效果。使用这种方法获得的经验清楚地表明,只要有可能,治疗应采用一期手术,或在短时间内分两期进行,且应在早期进行。本文还报道了2例采用后一种全原发功能重建方法进行手术的病例,其形态学结果非常令人鼓舞。

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