Anatomy of Cloacal Exstrophy
Anatomy of Cloacal Exstrophy
复制标题
泄殖腔外翻的解剖
DOI：
10.1007/978-1-4757-3056-2_30
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
D. Vandersteen
中科院分区：
文献类型：
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作者：
D. Husmann;D. Vandersteen
泄殖腔外翻，估计发病率为1/200-400,000，是最罕见和最严重的外翻外翻复合体。1，2 1960年以前，与这种异常相关的多个系统缺陷不可避免地导致婴儿死亡。3，4外科技术、新生儿护理、高营养和抗生素治疗的改进目前使我们能够获得85%-90%的存活率。1，5为了适当地计划这些患者的外科重建，管理这些患者的儿科泌尿科医生、外科医生和放射科医生必须注意与这个实体共存的多种异常。本文的目的是概述相关的先天性缺陷，并回顾它们对这类患者的外科治疗和管理的影响。
Cloacal exstrophy with an estimated incidence of 1 in 200–400,000, is the rarest and most severe form of the exstrophy epispadias complex.1,2 Prior to 1960 the multiple systemic defects found in association with this anomaly inevitably lead to death of the infant.3,4 Refinements in surgical technology, neonatal care, hyperalimentation and antibiotic therapy currently allow us to obtain survival rates in the range of 85–90%.1,5 To appropriately plan for the surgical reconstruction of these patients, the pediatric urologist, surgeon and radiologist managing these individuals must beware of the multiple anomalies that coexist with this entity. The purpose of this paper is to outline the associated congenital defects and review their impact on the surgical treatment and management of this patient population.