患者女性,17岁,因出生后即有耻骨上突出粘膜样肿物伴持续漏尿17年,于1974年2月21日入院。患者发育较差,营养不良、贫血貌,心肺肝脾均未发现异常,下腹正中耻骨上部分皮肤缺如,有一粘膜外翻肿物7×6×3厘米,肿物下部两侧有乳头状管口突起,并见有尿液阵发性喷出,四周皮肤无浸蚀糜烂,耻骨联合分离约4厘米,部分阴道粘膜外翻。经两侧乳头状管口插输尿管导管逆行肾盂造影,两肾、输尿管显影正常。治疗:经准备于1974年3月5日行修复手术,先经外露之输尿管口插入输尿管导管,沿膀胱外翻粘膜周围作纵形加横形切口,进入腹腔,解剖出两侧输尿管下端,靠近膀胱处切断,将外翻之膀胱切除。距直 A 17-year-old female patient with persistent mucosal leakage on the pubic bone after birth, 17 years, was admitted on February 21, 1974. Patients with poor development, malnutrition, anemia appearance, no abnormal heart and lung liver and spleen, abdomen in the middle of the suprapubic part of the skin absent, there is a mucocutaneous tumor 7 × 6 × 3 cm, the lower part of the tumor on both sides of the papillary Mouth protrusion, and see the urine paroxysmal eruption, no erosion of the skin around the erosion, pubic symphysis separation of about 4 cm, part of the vaginal mucosa valgus. Through both sides of the nipple-shaped ureter catheter retrograde pyelography, two kidneys, normal ureterography. Treatment: Prepared for March 5, 1974 to repair the operation, first exposed ureteral orifice into the ureteral catheter along the bladder eversion mucosa for longitudinal plus transverse incision, into the abdominal cavity, dissecting the lower ureter on both sides, close to the bladder Department cut off, the eversion of the bladder resection. Straight