Peng Zhiwei,Huang Yichen.Research progress of pelvic floor structure changes before and after pelvic osteotomy for classic bladder exstrophy[J].Journal of Clinical Pediatric Surgery,2022,21(07):680-683.[doi:10.3760/cma.j.cn101785-202101011-016]
典型膀胱外翻骨盆截骨手术前后盆底结构 变化研究进展
- Title:
- Research progress of pelvic floor structure changes before and after pelvic osteotomy for classic bladder exstrophy
- 关键词:
- 膀胱外翻/外科学; 骨盆/解剖学和组织学; 盆底疾病; 尿失禁
- 摘要:
- 典型膀胱外翻（classic bladder exstrophy，CBE）是一种严重的泌尿生殖系统先天畸形，患儿的特征性表现之一为盆底结构异常，具体包括肛提肌增宽、外旋和扁平。截骨手术有助于纠正骨盆结构异常，重构肛提肌分布，在一定程度上可恢复正常的盆底结构，但部分患儿术后仍出现盆底功能障碍（如尿失禁、盆腔脏器脱垂等）。近年来，随着组织病理学和放射影像学的快速发展，CBE盆底结构研究越发细致，本文将主要从肛提肌及其附着的骨盆环结构两方面对CBE患儿盆底研究进展进行综述。
- Abstract:
- Classic bladder exstrophy (CBE) represents a spectrum of serious genitourinary anomaly, and characterized by pelvic floor defect, which is manifested by a widening, externally rotating and flattening of levator ani muscle (LA).Osteotomy can correct the abnormal pelvic structure, reconstruct the LA distribution and restore the normal pelvic floor structure to a certain extent.However, some patients still experience post-operative pelvic floor dysfunction such as incontinence and pelvic organ prolapse.In recent years, with the rapid development of histopathology and radiography, the research on the pelvic floor structure of CBE has been done in more detail.This article reviewed the research progress of pelvic floor in children with CBE from the perspectives of LA and its attached pelvic ring structure.
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备注/Memo
收稿日期:2021-01-05。
基金项目:上海市科技创新行动计划医学创新研究专项项目（21Y11903900）
通讯作者:黄轶晨,Email:huangyc@shchildren.com.cn