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首页> 外文期刊>Journal of pediatric urology >Management of female anterior perineal injuries with urethrovaginal disruption by anterior sagittal transanorectal approach
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Management of female anterior perineal injuries with urethrovaginal disruption by anterior sagittal transanorectal approach

机译：经前矢状经直肠直肠直肠入路治疗女性会阴前尿道阴道破裂

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摘要

Objective: Urethrovaginal disruption injury poses a considerable challenge in surgical correction, mainly due to difficult access to the receded urethrovaginal unit deep in the scarred anterior perineum. We assessed the feasibility, safety and efficacy of the anterior sagittal transanorectal approach (ASTRA) in the repair of anterior perineal injury with urethrovaginal disruption in female children. Materials and methods: Three girls with urethrovaginal disruption following perineal injury were operated by ASTRA between March 2008 and December 2010. All of them had severe scarring of the anterior perineum at the time of definitive repair by this approach. One underwent ASTRA repair without a covering colostomy. Results: Total urethrovaginal mobilization and anchorage of urethral and vaginal orifices at the vestibule were successfully achieved in all patients. One patient has developed vaginal stenosis at 1.5 years follow up. Despite the absence of a colostomy cover in one case, there were no wound complications in the early postoperative period. Conclusion: The ASTRA is safe and efficacious in the repair of traumatic urethrovaginal disruption in children.
机译：目的：尿道阴道破坏性损伤在外科手术矫正中提出了相当大的挑战，这主要是由于难以进入到会阴的前会阴深处的后尿道阴道单位难以进入。我们评估了前矢状经直肠直肠直肠入路（ASTRA）修复女性儿童会阴部前尿道阴道阴道破裂的可行性，安全性和有效性。材料和方法：2008年3月至2010年12月，由ASTRA手术了3名会阴部损伤后尿道阴道破裂的女孩。在通过这种方法进行彻底修复时，所有这些女孩的会阴前部都有严重的疤痕。其中一名接受了ASTRA修复，没有进行结肠造口术。结果：所有患者均成功实现了尿道阴道总动员以及前庭尿道和阴道口的固定。一名患者在1.5年的随访中出现了阴道狭窄。尽管一例中没有结肠造口盖，但术后早期没有伤口并发症。结论：ASTRA在修复儿童创伤性尿道阴道破裂中安全有效。

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