经耻骨途径处理低位泌尿生殖道和肠道问题

• 作 者: Patil UB 朱雍然
• 出 处: 国外医学.外科学分册
• 发表日期: 1983年02期
• 关键词: 耻骨后 耻骨联合 下尿路 尿路病变 泌尿生殖道 直肠恶性肿瘤 先天性异常 泌尿科 前列腺切除 骨盆骨折

在处理下尿路和肠道复杂的先天性异常、创伤和恶性肿瘤时,耻骨联合严重地影响了外科显露。在过去10年中,为了改善其显露,泌尿科医师在处理下尿路病变时,愈来愈多地采用了经耻骨途径。近来,已施用该术治疗直肠恶性肿瘤。200多年前,曾经此途径切开耻骨联合和耻骨,以利产妇分娩。本文对该途径的历史发展和现况作一复习。

In the treatment of lower urinary tract and intestinal complex congenital anomalies, trauma and malignancy, the pubic symphysis severely affected the surgical findings. Over the past decade, urologists have increasingly adopted the puborectal approach to address lower urinary tract lesions in order to improve their presentation. Recently, this technique has been applied to treat rectal malignancies. More than 200 years ago, this approach was once used to cut off pubic symphysis and pubis for the benefit of mothers giving birth. This article makes a review of the historical development and current situation of this route.