【各种阀门切除工艺的错误和危险】。

O H Nielsen
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引用次数: 1

摘要

尿道瓣膜的并发症是常见的,尤其是在最年轻的年龄组。一些并发症是由瓣膜阻塞引起的,另一些是由最初的治疗引起的。瓣膜切除可经膀胱,有或没有联合切口,直视,通过会阴造口或经尿道。这些不同的方法代表了一种历史的发展。强制性的先决条件包括更新的婴儿和婴儿膀胱镜设备的可用性。开放性手术的主要问题是尿失禁。经尿道入路可导致狭窄;括约肌病变引起的尿失禁也可能发生。近年来经皮经膀胱入路行顺行切除。可以预期,这样可以减少并发症,但仍然没有足够的经验来进行最后的评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Errors and dangers of various valve resection technics].

Complications are frequently seen in patients with urethral valves, especially in the youngest age bracket. Some of the complications are due to valve obstruction and others due to the primary therapy. Valve resection can be transvesical, with or without symphysic incision, in direct view, via perineostomy or transurethral. These different methods represent a historical development. The mandatory prerequisite consists of the availability of update cystoscopic equipment for babies and infants. The main problems involved in "open" surgery concern incontinence. Transurethral approach can result in strictures; incontinence due to sphincter lesion can also occur. In recent years antegrade resection is being performed via percutaneous transvesical approach. It may be expected that this reduces the complications, but there is still insufficient experience to permit final assessment.

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