Zhao G X, Qiao B P, Bai Y X
First Affiliated Hospital of Henan Medical University, Zhengzhou.
Zhonghua Wai Ke Za Zhi. 1994 Oct;32(10):619-20.
5 cases of complete bladder exstrophy were treated by one stage reconstruction with abdominal wall skin flap and rectus abdominis muscle flap. Closure of the abdominal wall and bladder defect were achieved satisfactorily in all the patients. 4 patients have been followed up for 1.5-10.5 years. 3 patients whose bladder neck had been augmented by rectus abdominis muscle flap were continent but 1 patient whose bladder neck had not been, had giggle incontinence. The renal functions were all normal in these patients.
5例完全性膀胱外翻患者采用腹壁皮瓣和腹直肌肌瓣一期重建进行治疗。所有患者的腹壁和膀胱缺损均得到满意修复。4例患者获得随访，随访时间为1.5至10.5年。3例膀胱颈采用腹直肌肌瓣扩大的患者控尿良好，但1例未采用腹直肌肌瓣扩大膀胱颈的患者存在笑声性尿失禁。这些患者的肾功能均正常。
