重复膀胱2例报告并文献复习

Duplication of bladder:Report of 2 cases and review of literature

目的：提高对重复膀胱的认识及诊疗水平。方法：回顾性分析2例重复膀胱患者的临床资料。2均为女性,年龄21和27岁。分别以下腹部不适和尿频、尿痛就诊。术前诊断1例为左肾萎缩、左输尿管下段张；另1例为膀胱憩室,并发膀胱结石继发感染。结果：1例术中发现左输尿管下端连接一个肌性囊袋,此囊袋与一个盲管相连,将此囊袋和盲管与左肾和输尿管一并切除,病理检查诊断为重复膀胱尿道,左肾萎缩；另1例中见膀胱被一个肌性中隔分为左右两腔,借中隔中下部孔互相连通,切除的中隔病理检查为膀胱组织。2例均术后8天痊愈出院,随访无异常。结论：重复膀胱罕见,常并发其他器官发育异常。影像学检查可为诊断提供助,手术是唯一能根治的方法。

Objective：To improve the knowledge and the level of diagnosis and treatment to duplication of bladder. Methods..2 cases of duplication of bladder were reviewed. Results：The symptoms of these 2 cases were hypogastric zone discomfort and urinary frequency, odynuria. After preoperative examinations, one was diagnosed as left kidney atrophy, inferior segment distention in left ureter, and the other was bladder diverticulum, combined with cystic calculus and infection. During the operation on the first case, we found a muscular sac, which was demonstrated to be bladder tissue in pathology, was connected with the left ureter. And on the second case, we found a septum, which divided the bladder into two cavities incompletely. Conclusions： Duplication of bladder is rare occurred and is often combined with other organs abnormalities. The embryogenesis mechanism is unknown. Imageology examinations may help to diagnose the disease. The only method to cure the disease is operation.