[Management Of Blader Exstrophy In Children At The CHU Gabriel Touré].

Le Mali medical Pub Date : 2023-01-01
I Amadou, Y M Coulibaly, O M Coulibaly, D Konaté, Y Coulibaly, M T Coulibaly, B Maiga, A Doumbia, F Traoré, B Karembé, M K Djire, B Kamate, M B Daou, A Barry, M E Cissé, O Coulibaly, A Dembélé
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引用次数: 0

Abstract

Aims: To describe the clinical and evolutionary aspects of the primary closure of exstrophy at the CHU Gabriel Touré.

Materials and methods: This was a retrospective and prospective study carried out from January 2014 to December 2019 in all the children admitted and operated on for bladder exstrophy at the CHU Gabriel Touré.

Results: We collected 35 cases of exstrophy, ie25 boys and 10 girls. The mean age at diagnosis was 4.8 months. The bladder plate was both normal and budded, ie 28.6% of cases. Plaque infection was found in 45.7%. A malformation was associated in 34.3% of cases. Primary plaque closure was achieved in all of our patients. Postoperative morbidity was 28.6% of cases and mortality 11.4% of cases.

Conclusion: Bladder exstrophy is a rare malformation of the urogenital sphere, its management is complex and its mortality is not null.

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[加布里埃尔-杜尔医疗中心对儿童膀胱出口萎缩症的管理]。
目的:描述加布里埃尔-图雷中央医院膀胱外翻初次闭合手术的临床和演变情况:这是一项回顾性和前瞻性研究,研究时间为2014年1月至2019年12月,研究对象为加布里埃尔-图雷中央医院所有因膀胱外翻而入院并接受手术的患儿:我们收集了35例膀胱外翻病例,即25名男孩和10名女孩。确诊时的平均年龄为 4.8 个月。28.6%的病例的膀胱板既正常又有萌芽。45.7%的病例存在斑块感染。34.3%的病例伴有畸形。所有患者都实现了原发性斑块闭合。术后发病率为28.6%,死亡率为11.4%:结论:膀胱外翻是一种罕见的泌尿生殖系统畸形,其治疗非常复杂,死亡率也不低。
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