小儿先天性前尿道瓣膜症的诊治(附4例报告)  

Diagnosis and Therapy of Congenital Anterior Urethral Valve in Infant(Report of 4 Cases)

作　　者：王金[1] 董志行[2] 张蕾[2] 

机构地区：[1]山东大学附属省立医院泌尿微创中心,山东济南250021 [2]山东大学齐鲁医院小儿外科,山东济南250012

出　　处：《泌尿外科杂志（电子版）》2010年第3期35-36,26,共3页Journal of Urology for Clinicians(Electronic Version)

摘　　要：目的总结小儿先天性前尿道瓣膜症的诊治经验。方法回顾性总结4例小儿先天性前尿道瓣膜症并结合国内外该病的临床资料进行分析。结果该组资料2例通过尿道镜检查确诊,1例通过磁共振尿路造影及排尿性膀胱尿道造影确诊,1例单纯通过排尿性膀胱尿道造影确诊。2例行尿道镜前尿道瓣膜内切开术,另2例行前尿道瓣膜切除,尿道成形术,效果满意。结论通过临床症状,排尿性膀胱尿道造影和尿道镜检查,该病的诊断并不困难。手术是治疗该病的唯一方法。Objective To summarize diagnostic and therapeutic experience of congenital anterior urethral valve in the infant.Methods Combined with the related literature,the clinical data of 4 patients with congenital anterior urethral valve were analyzed retrospectively.Results Two cases were diagnosed by urethra scope,one case was diagnosed by the combination of magnetic resonance urography(MRU)and voiding cystourethrogram, and one case was diagnosed only by voiding cystourethrogram.Incision of anterior urethral valve and urethroplasty were both performed for two cases with satisfactory effect.Conclusions Combined with symptoms, congenital anterior urethral valve can be diagnosed by voiding cystourethrogram and urethroscopy.Operation is the only way to cure it.

关 键 词：前尿道瓣膜 尿道憩室 排泄性膀胱尿道造影 尿道镜 前尿道瓣膜切除 尿道成形术 

分 类 号：R726.9[医药卫生—儿科]