Sacher P, Rickham P P, Stauffer U G
Z Kinderchir. 1982 Feb;35(2):69-72. doi: 10.1055/s-2008-1059905.
Functional reconstructive surgery is performed in bladder exstrophy at the University Children's Hospital of Zurich since 1971. The surgical procedure is usually done in three stages--bilateral iliac osteotomy--turn-in-operation wih preliminary reconstruction of the bladder neck and antireflux surgery--closure of the epispadia, if necessary combined with continence plasty. Out of 26 patients with bladder exstrophy 23 underwent reconstruction. 3 patients died postoperatively. One was lost for follow-up. The preliminary long-term results in 19 patients are presented. The assessment was based on four criteria: last intravenous pyelography, urinary function, frequency and severity of urinary infections and degree of attained continence. The results were classified as good in 5 patients, fair in another 5 patients and insufficient in 6. 3 patients were too young to be assessed. The results are compared with other series reported in literature.
自1971年起，苏黎世大学儿童医院就对膀胱外翻患者实施功能性重建手术。该手术通常分三个阶段进行——双侧髂骨截骨术——内翻手术并初步重建膀胱颈及抗反流手术——修复尿道上裂，必要时联合节制排尿成形术。26例膀胱外翻患者中，23例接受了重建手术。3例患者术后死亡。1例失访。现报告19例患者的初步长期结果。评估基于四项标准：最后一次静脉肾盂造影、排尿功能、泌尿系统感染的频率和严重程度以及达到的节制排尿程度。结果分为：5例良好，5例尚可，6例不足。3例患者因年龄太小无法评估。将这些结果与文献中报道的其他系列结果进行了比较。
