球囊扩张尿道在一穴肛重建尿道阴道的应用  

Application of balloon dilatation of urethra in urethrovaginoplasty for female children with points anus

作　　者：毕讯[1] 宋杏丽[2] 李龙[3] 张金哲[4] 

机构地区：[1]都柏林大学 [2]航天总医院外科,北京100076 [3]首都儿科研究所,北京100022 [4]北京儿童医院,北京100045

出　　处：《中国妇幼健康研究》2008年第3期300-301,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨球囊持续扩张尿道在一穴肛重建尿道阴道的可能性。方法用双腔导尿管扩张患儿共同管，其长度、宽度根据CT动态观察，根据不同年龄扩张共同管到2．0-3．9cm时实施手术。结果本方法解决了尿道和阴道成形中组织材料不足的问题，再造尿道阴道取得了良好的效果，手术后患儿不但获得良好的排尿和排便控制功能，而且会阴部外观满意。成形后的阴道会随着生长而发育。结论本方法再遣尿道阴道，结构符合生理。外观满意，值得推广。Objective To explore feasibility of urethral continuous expansion by balloon in urethroviginoplasty for those female children with points anus. Methods Common tube of the patient was expanded by Foly catheter （with two lumens）, length inserted and width expanded of the common tube were observed dynamically under CT scanning. The common tube was expanded to 2.0-3.9 cm according to age of the patient, then urethroviginoplasty was performed. Results After operation, the children could control their urination and defecation better, and perineal appearance is satisfactory. Moreover reconstructed vagina would grow with body growth. Conclusion Urethroviginoplasty with urethral continuous expansion for those female children with points anus is worthy to be popularized because structures of urethra and vagina reach physiological ones and perineal appearance of the patients after operation is satisfactory.

关 键 词：一穴肛 尿道 阴道 重建 

分 类 号：R726.2[医药卫生—儿科] R695.1[医药卫生—临床医学]