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女性,4岁。耻骨上区 6cm×5cm粉红色肿物,下方可见两侧输尿管口溢尿,周围皮肤糜烂,尿道前壁全长裂开,耻骨联合缺如。拟诊完全性膀胱外翻。采用Leadbetter式尿道成形术,外科1期手术成功。并取得近远期满意效果。手术方法为:患者取俯卧位。后侧径路距骶髂关节2cm处离断髂骨,使之完全分离,用均匀压力向内压两侧髂内使耻骨联合靠拢。操作时注意勿损伤臀上血管与神经。后取平卧位,沿膀胱粘膜与皮肤交界处切开,向下切至尿道两侧,置F_8导尿管为支架,肠线连续缝合尿道、膀胱颈部以及部分三角肌,形成管状尿道。同时缝合膀胱使之完全内翻,丝线间断缝合耻骨间肌纤维组织、膀胱肌层。膀胱造瘘。再取左右分离耻骨的皮肤横切
Female, 4 years old. Suprapubic area 6cm × 5cm pink mass, below the ureter on both sides of the urethra visible, the surrounding skin erosion, urethral anterior wall full length split, pubic symphysis. To be diagnosed with complete bladder eversion. Using Leadbetter urethroplasty, surgical surgery was successful. And achieved satisfactory results in the near future. Surgical methods are: patients take prone position. Back side of the path from the sacroiliac joint 2cm Department of iliac bone fracture, so that the complete separation of the pressure with uniform pressure on both sides of the internal iliac to the pubic symphysis close together. Be careful not to damage the buttocks blood vessels and nerves. After taking the supine position, cut along the junction of the bladder mucosa and skin, cut down to both sides of the urethra, set F_8 catheter for the stent, catgut continuous suture urethra, bladder neck and some deltoid muscle to form tubular urethra. At the same time suture the bladder to make it completely varus, intermittent suture interspinous interspinous muscle fibers, bladder muscle layer. Bladder fistula. Then take the left and right pubis skin crosscut