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目的:为观察膀胱外翻术后远期疗效及其并发症。方法:对16例功能性膀胱外翻重建术患儿进行随访,时间8~20年,平均15年,判定排尿功能标准为,优:能控制排尿;良:能控制排尿,但在激烈运动时出现尿失禁;劣:尿失禁。结果:优8例,良5例,劣3例,阴茎发育良好占6/9,髂骨折断术后,耻骨联合仍分离。并发症:膀胱输尿管返流12例(占75%),长期泌尿系感染9例(占52.6%),泌尿系结石7例,膀胱挛缩2例。结论:功能性膀胱外翻重建术后控制排尿效果较满意,术后并发症以膀胱输尿管返流和泌尿系感染为主,髂骨折断术远期效果不佳
Objective: To observe the long-term curative effect and complications of bladder eversion. Methods: 16 cases of functional bladder eversion reconstruction of children were followed up for 8 to 20 years, an average of 15 years to determine the standard urinary function, excellent: to control urination; good: to control urination, but during intense exercise Urinary incontinence; poor: urinary incontinence. Results: Excellent in 8 cases, good in 5 cases, poor in 3 cases, penile well-developed accounted for 6/9, iliac fractures, the pubic symphysis still isolated. Complications: 12 cases of vesicoureteral reflux (75%), long-term urinary tract infection in 9 cases (52.6%), urinary calculi in 7 cases and bladder contracture in 2 cases. CONCLUSION: Functional bladder eversion is satisfactory for controlling urination. Postoperative complications mainly include vesicoureteral reflux and urinary tract infection. The long-term effect of iliac fracture surgery is poor