小儿前尿道瓣膜合并尿道憩室致下尿道梗阻五例分析  

Analysis of five cases of urethral obstruction caused by anterior urethral valve combined with urethral diverticulum in children

作　　者：林国雄[1] 王玉芸[1] 林海[1] Lin Guoxiong;Wang Yuyun;Lin Hai(Department of Pediatric Surgery, the People′s Hospital of Hainan Province, Haikou 570023, Chin)

机构地区：[1]海南省人民医院小儿外科,海口570023

出　　处：《中国医师进修杂志》2018年第7期630-632,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨小儿前尿道瓣膜合并尿道憩室的诊断和治疗方法，了解前尿道瓣膜合并尿道憩室引起男童下尿道梗阻的原因。方法回顾性分析5例前尿道瓣膜合并尿道憩室患儿的临床资料，排泄性膀胱尿路造影显示前尿道瓣膜及憩室形成。患儿均行膀胱造瘘、尿道瓣膜及憩室切除和尿道成形术。结果5例患儿均经手术治愈，排尿通畅，无尿瘘和尿道狭窄，术后尿动力学、肾功能和尿常规正常。结论前尿道瓣膜合并尿道憩室临床极少见，排泄性膀胱尿道造影是诊断下尿路梗阻的主要方法，早期诊断与治疗效果较好，经尿道行瓣膜和憩室切除术为治疗首选。ObjectiveTo explore the diagnosis and treatment of children anterior urethral valve combined with urethral diverticulum, and study the causes of lower urethral obstruction caused by the anterior urethral valve combined with urethral diverticulum.MethodsThe clinical data of 5 cases of anterior urethral valves combined with urethral diverticulum were retrospectively analyzed. Excretory bladder urography showed the formation of anterior urethral valve and diverticulum. All children underwent cystostomy, urethral valves, diverticulectomy and urethroplasty.ResultsAll the 5 children were cured by surgery, and urination was smooth, with no urinary fistula and urethral stricture; the postoperative urodynamics, renal function and urinalysis were normal.ConclusionsAnterior urethral valve combined urethral diverticulum is rare in clinic, and excretory bladder urethroplasty is the main diagnosis method of lower urethral obstruction. The effect of early diagnosis and treatment is good. Transurethral resection of valve and diverticulum is the first choice.

关 键 词：儿童 尿道梗阻 憩室 回顾性研究 

分 类 号：R726.9[医药卫生—儿科]