带蒂腹壁皮瓣和腹直肌瓣一期修复膀胱外翻及尿道上裂

One stage reconstructiou of bladder exstrophy andepispadias with adbominal wall skin flap and rectus ab-dominis muscle flap:report of 5 cases

采用自行设计的带蒂腹壁皮瓣和腹直肌瓣一期修复５例完全性膀胱外翻及尿道上裂，效果满意。腹壁和膀肮前壁缺损均得以关闭。４例术后随访１．５～１０．５年。３例采用腹直肌瓣缠绕膀胱颈者，术后能控制排尿；另１例未缠绕者，术后腹压增加时，呈尿失禁状。术后复查肾功能均正常。

Abstract5cases of complete bladder exstrophy were treat-ed by one stage reconstruction with abdominal wallskin flap and rectus abdominis muscle flap. Closure ofthe abdominal wall and bladder defect were achievedsatisfactorily in alI the patients. 4 patients have beenfollowed up for 1.5～10. 5 years. 3 patients whosebladder neck had been augmented by rectus abdominismuscle flap were continent but 1 patient whose bladderneck had not been,had giggle incontinence. The renalfunctions were alI normal in these patients.