一种用于膀胱外翻一期和二期修复的联合垂直与水平骨盆截骨术入路
A combined vertical and horizontal pelvic osteotomy approach for primary and secondary repair of bladder exstrophy.
作者信息
Gearhart J P, Forschner D C, Jeffs R D, Ben-Chaim J, Sponseller P D
机构信息
Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.
出版信息
J Urol. 1996 Feb;155(2):689-93.
PURPOSE
We describe a new combined horizontal and vertical pelvic osteotomy procedure for bladder exstrophy.
MATERIALS AND METHODS
A total of 36 patients with the bladder exstrophy complex underwent this procedure during a 3-year period (8 primary and 18 secondary bladder closures, and 6 at bladder neck reconstruction).
RESULTS
There were no instances of dehiscence and only a minor bladder prolapse in 1 patient with cloacal exstrophy. Two patients had a transient femoral nerve palsy and there was 1 superficial pin infection. Urological complications included symptomatic urinary tract infections in 5 patients, acute epididymitis in 1 and bladder calculi in 2.
CONCLUSIONS
This new osteotomy procedure is of great benefit in initial or repeat closure of bladder exstrophy and may help in eventually achieving continence.
目的
我们描述一种用于膀胱外翻的新的联合水平和垂直骨盆截骨手术。
材料与方法
在3年期间，共有36例膀胱外翻综合征患者接受了该手术（8例初次膀胱闭合、18例二次膀胱闭合以及6例膀胱颈重建）。
结果
没有出现裂开的情况，仅1例泄殖腔外翻患者出现轻微膀胱脱垂。2例患者出现短暂性股神经麻痹，有1例浅表钢针感染。泌尿系统并发症包括5例有症状的尿路感染、1例急性附睾炎和2例膀胱结石。
结论
这种新的截骨手术在初次或重复闭合膀胱外翻方面有很大益处，可能有助于最终实现控尿。
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