带蒂腹壁皮瓣和腹直肌瓣一期修复膀胱外翻及尿道上裂  

One stage reconstructiou of bladder exstrophy andepispadias with adbominal wall skin flap and rectus ab-dominis muscle flap:report of 5 cases

作　　者：赵高贤[1] 乔保平[1] 白悦心[1] 姜海洋[1] 李孟圈[1] 

机构地区：[1]河南医科大学第一附属医院

出　　处：《中华外科杂志》1994年第10期619-620,共2页Chinese Journal of Surgery

摘　　要：采用自行设计的带蒂腹壁皮瓣和腹直肌瓣一期修复５例完全性膀胱外翻及尿道上裂，效果满意。腹壁和膀肮前壁缺损均得以关闭。４例术后随访１．５～１０．５年。３例采用腹直肌瓣缠绕膀胱颈者，术后能控制排尿；另１例未缠绕者，术后腹压增加时，呈尿失禁状。术后复查肾功能均正常。Abstract5cases of complete bladder exstrophy were treat-ed by one stage reconstruction with abdominal wallskin flap and rectus abdominis muscle flap. Closure ofthe abdominal wall and bladder defect were achievedsatisfactorily in alI the patients. 4 patients have beenfollowed up for 1.5～10. 5 years. 3 patients whosebladder neck had been augmented by rectus abdominismuscle flap were continent but 1 patient whose bladderneck had not been,had giggle incontinence. The renalfunctions were alI normal in these patients.

关 键 词：膀胱外翻 尿道上裂 外科皮瓣 修复术 

分 类 号：R694.12[医药卫生—泌尿科学]