膀胱外翻外科治疗20年回顾  

A 20 year review of the treatment of bladder extrophy:analysis of 71 cases

作　　者：张凤翔[1] 康春生[1] 王晓路[1] 

机构地区：[1]河北医学院附属第二医院小儿泌尿外科

出　　处：《中华泌尿外科杂志》1995年第2期99-101,共3页Chinese Journal of Urology

摘　　要：对７１例膀胱外翻病人的治疗进行分析。其中部分型８例，完全型５６例，隐型３例，第二次手术４例。本组６６例行功能性修复术。结果：控制排尿３８例（５７．６％），部分性尿失禁１５例（２２．７％），完全性尿失禁１０例（１５．２％），死亡３例（４．５％）。认为膀胱外翻功能性修复术可达到恢复正常膀胱生理功能，应为首选术式。膀胱颈部重建和防止感染是提高疗效的关键。部分型应以切开闭合部膀胱行典型功能性修复术为宜。确定排尿功能恢复情况应在青春期之后，不宜过早行再次手术。cases of bladder extrophy were reviewed.8 being of incomplete type,56 of complete type,3 of recessive type and 4 being surgically treated before.Functional reconstruction has been carried out in 66 cases with urinary cotience achieved in 38(57.6%),incomplete incontience in 15(22.7%)and total incontinencein 10(15.2%)and 3 patients died.The technique of functional reconstruction should be the operation of first choice in order to get the normal physiological function of the bladder.Reconstruction of the bladder neck and prevention of infection are the key points of success.The function of uririation should be finally assessed after adolescence and further operative treatment if necessary should be considered only then.

关 键 词：膀胱外翻 外科手术 治疗 

分 类 号：R699.5[医药卫生—泌尿科学]