CAJ | 학술논문

目的评价双侧前外侧骨盆截骨在治疗小儿膀胱外翻中的应用.方法 1997年1月至2007年12月13例膀胱外翻患儿在本院行双侧前外侧骨盆截骨术合拢骨盆环,膀胱内翻关闭术,年龄6个月～13岁.其中3例是曾在外院作过膀胱外翻关闭手术失败的病例.骨盆截骨采用从髂前上棘髂前下棘之间到坐骨大切迹的前外截面.结果平均随访5年(6个月～10年).I期修复膀胱外翻,术后无腹壁伤口裂开,耻骨合拢处分离不超过2 cm,步态正常.其中3例男性患儿术后随访排尿得到了良好控制.结论双侧前外侧骨盆截骨在术中不需要改变体位,截骨后使耻骨尽町能合拢,且可用于膀胱外翻关闭手术失败再次截骨,较传统的后侧骨盆截骨术治疗膀胱外翻更优越.骨盆截骨手术有助于膀胱外翻患儿今后控制排尿.
목적 평개쌍측전외측골분절골재치료소인방광외번중적응용.방법 1997년1월지2007년12월13례방광외번환인재본원행쌍측전외측골분절골술합롱골분배,방광내번관폐술,년령6개월～13세.기중3례시증재외원작과방광외번관폐수술실패적병례.골분절골채용종가전상극가전하극지간도좌골대절적적전외절면.결과 평균수방5년(6개월～10년).I기수복방광외번,술후무복벽상구렬개,치골합롱처분리불초과2 cm,보태정상.기중3례남성환인술후수방배뇨득도료량호공제.결론 쌍측전외측골분절골재술중불수요개변체위,절골후사치골진정능합롱,차가용우방광외번관폐수술실패재차절골,교전통적후측골분절골술치료방광외번경우월.골분절골수술유조우방광외번환인금후공제배뇨.
Objective To evaluate the efficacy of bilateral anterior iliac osteotomies to repair bladder exstrophy in children.Methods From January 1997 to December 2007, 13 children with bladder exstrophy, aged from 6 months to 13 years, underwent bilateral anterior lilac osteotomies at this center.Three patients had the history of failed initial surgery.Osteotomy was made on anterior external surface, from the anterior superior iliac spine and the anterior inferior iliac spine to the greater sciatic notch.Results The 13 patients were followed up for a mean period of 5 years (range:6 months to 10 years).No dehiscence was noted in the osteotomy group.All patients were achieved symphyseal approximation of less than 2 cm.Their locomotion was normal Three boys obtained urinary continence.Conclusions The procedure of anterior iliac osteotomies has some advantages over the traditional posterior iliac osteotomies in treatment of bladder exstrophy.By this treatment, patients achieve better clinical outcomes.