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典型膀胱外翻是一种少见而又复杂的先天性泌尿系畸形。以前,因重建手术难以成功而将尿流改道术作为膀胱外翻的常规治疗方法。然而,自Young(1908)用延长和缩窄膀胱颈首次治愈完全性尿失禁以来,关于典型膀胱外翻行功能性膀胱重建的报道不断增加,虽经严格的病例选择,但治愈率低于30％,七十年代重建手术成功率逐渐提高,有达50—60％者。Mollall(1980)将收治病例的90％行分期功能性重建;Lepor等(1983)则将所见到的全部病例均行重建手术,其完成全部手术的治愈率为19/21;Hensle等(1985)对那些膀胱太小难于缝合成一个囊腔或前已作尿流改道治疗
A typical bladder eversion is a rare and complicated congenital urinary tract deformity. Previously, urinary diversion was used as a routine treatment for bladder eversion because of the difficulty of reconstructive surgery. However, since Young (1908) first cured complete urinary incontinence by prolonging and contracting the bladder neck, reports of functional bladder reconstruction with typical bladder valvuloplasty continue to increase, although under strict case selection, the cure rate is less than 30 %, The success rate of reconstruction surgery in the seventies gradually increased, up to 50-60%. In 90% of cases treated, Mollall (1980) reconstructed functional staging; Lepor et al. (1983) performed all reconstructive surgery in all cases and achieved a total cure rate of 19/21; Hensle et al. ) For those bladder too difficult to suture into a cyst or before the urinary diversion therapy