Gearhart J P, Forschner D C, Jeffs R D, Ben-Chaim J, Sponseller P D
Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.
J Urol. 1996 Feb;155(2):689-93.
We describe a new combined horizontal and vertical pelvic osteotomy procedure for bladder exstrophy.
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).
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.
This new osteotomy procedure is of great benefit in initial or repeat closure of bladder exstrophy and may help in eventually achieving continence.
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。
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）。
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。
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。
