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[采用马蒂森技术对儿童进行输尿管-结肠吻合术的结果(作者译)]

[Results of uretero-colonic anastomoses in the child using Mathisen' technique (author's transl)].

作者信息

Brueziére J, Jablonski J P, Giannacopoulos X

出版信息

J Urol (Paris). 1982;88(2):129-34.

PMID:7097024
Abstract

The authors performed 35 uretero-colonic anastomoses in 19 children using the technique of Mathisen. Indications were varied (ectopia vesicae 13, neurological bladder 5, female hypospadias 1). Four types of operation were done: direct uretero-sigmoidostomy 6, Bricker reimplanted in the sigmoid 8, permanent Bricker 4, enlargement sigmoido cystoplasty 1. There were 7 failures: 4 stenoses and 1 reflux. These failures required treatment by trans-uretero-ureterostomy (3 successes out of 4). The insertion of a trans-anastomotic catheter during the postoperative period is strongly advised

摘要

作者采用马蒂森技术为19名儿童实施了35例输尿管结肠吻合术。适应证多样(膀胱外翻13例、神经源性膀胱5例、女性尿道下裂1例)。共进行了四种手术:直接输尿管乙状结肠吻合术6例、乙状结肠原位布里克尔术8例、永久性布里克尔术4例、乙状结肠膀胱扩大成形术1例。出现7例失败情况:4例狭窄和1例反流。这些失败情况需要通过输尿管-输尿管吻合术进行治疗(4例中有3例成功)。强烈建议术后放置经吻合口导管。

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