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一百一十五个连续的膀外缩成功地在一个单一的国家委托中心关闭

A Mariotto¹, J D Keene¹, A A Bendon²

¹Department of Paediatric Urology, Royal Manchester Children's Hospital, Oxford Road, Manchester, M139WL, UK.

Journal of pediatric urology

|July 4, 2025

概括

在专门的单位中,分阶段延迟膀外缩修复 (DER) 可以成功关闭膀外缩,保护上部泌尿道并预防阴茎损伤. 这种方法确保了安全的腹壁关闭,并发症最小.

科学领域:

儿科泌尿外科儿科泌尿外科
重建性手术是一种重建性手术.
遗传异常是一种先天性异常.

背景情况:

膀外缩是一种复杂的先天性异常,需要专门的手术管理.
自2007年以来,已采用分阶段延迟膀外缩修复 (DER) 方法.
专门的外单元有助于管理大量患者队列.

研究的目的:

评估一个分阶段的延迟膀外缩修复 (DER) 协议的疗效和结果.
评估腹壁和膀关闭在患有膀外缩的患者的成功率.
确定DER程序的短期并发症和中期结果.

主要方法:

一组115名患有经典膀外缩 (CBE) 或膀外缩变体 (BEV) 的患者被追溯确定.
阶段性DER包括双边尿道再植入,膀关闭与后部尿道管道化,和"L形"骨切除术.
一个带有美人鱼带的外部固定器在没有下肢引的情况下在术后被应用.

主要成果:

所有115名患者都成功完成了关闭,没有腹壁脱落,阴上或脱落.
一名患者患上了伤口感染;没有发现明显的骨科,神经或阴茎缺血并发症.
轻微的水解和远端尿道扩张发生在少数患者中,保守地管理.

结论:

阶段性DER,结合"L形"骨切除和外部固定,为膀外缩提供了安全的闭合.
这种技术有效地保护了上部泌尿道的功能,并防止了阴茎缺血性损伤.
这种方法在专门的儿科泌尿病学和骨科环境中非常成功.

关键词:

膀外收缩膀外收缩延迟的外收缩闭关.异构变体的异构变体外部固定装置的外部固定装置骨盆骨干切除术 (pelvic osteotomy) 是一种切除骨的方法.

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