Surgical treatment of pelvic fracture urethral distraction defects in boys:which approach is suitable?
骨盆的骨折的外科的治疗尿道的分心在男孩背叛: 哪个途径是合适的？作者机构：Department of UrologyShanghai Jiao Tong University Affiliated Sixth People's HospitalShanghai 200233China Department of UrologyShanghai Children's HospitalShanghai Jiao Tong UniversityShanghai 200062China Shanghai Eastern Institute of Urologic ReconstructionShanghai 200233China
出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)
年 卷 期：2020年第22卷第3期
页 面：292-295页
核心收录：
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：children pelvic fracture posttraumatic urethra urethral stenosis
摘 要：Pelvic fracture urethral distraction defects(PFUDDs)are relatively infrequent in boys,and treatment for PFUDDs presents one of the most difficult problems in urological *** urethroplasty is considered an ideal surgical procedure for PFUDDs in ***,various surgical approaches for anastomotic urethroplasty have been proposed,including a simple transperineal approach,a tran sperineal in tercorporal septal separati on approach,a tran sperineal in ferior pubic approach,and a combined transpubic・perineal *** study aims to determine which surgical approach is best for PFUDDs in *** retrospectively identified 22 boys with PFUDDs aged 2-14 years who underwent anastomotic urethroplasty via different approaches between January 2008 and December ***-up was performed in all the 22 patients for 6-123(mean:52.0)***,20 of the 22 boys(90.9%)were successfully treated,including 1 of 2 patients treated with a simple transperineal approach,3 of 3 with a transperineal approach with intercorporal septal separation,14 of 15 with a transperineal inferior pubic approach,and 2 of 2 with a combined transpubic-perineal *** patients had failed outcomes after the operation,and stenosis *** on the outcome of the 22 patients,we can draw a preliminary conclusion that most boys(20/22)can be treated with a transperineal inferior pubic approach or simpler procedures without the need of completely removing or incising the *** combined transpubic-perineal approach can be used in cases of extremely long urethral distract defects.
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