男性儿童尿道重复畸形五例报告

Urethral duplication in male children: 5 cases reported

目的 提高对尿道重复畸形的诊断及治疗水平。方法 对 5例疑诊尿道重复畸形患儿行尿道探条探查、排泄性膀胱尿道造影、逆行尿道造影等检查 ,确诊后手术切除副尿道 ,尿道成形。结果 5例患儿手术发现及术后病理报告均证实为该病 ,手术治疗后长期随访中无异常表现。结论 尿道探条探查结合下尿路造影 ,特别是逆行尿道造影为诊断该病的有效手段。对伴有尿道梗阻、反复尿道感染、尿失禁、阴茎畸形等的患儿 。

Objective To improve the diagnoses and treatment of urethral duplication in male children.Methods Trajectory, voiding cystourethrography, retrograde urethrography were performed in 5 suspected cases,after the verification of diagnoses,accessory urethrae was resected and urethroplasty was performed.Results The diagnoses were confirmed by operational exploration and pathological examination.Uneventful recovery was found during long follow up.Conclusions Trajectory,Voiding cystourethrography,especially Retrograde urethrography,are effective means for diagnose urethral duplication .Surgical treatment is indicated for those with urethral obstruction,recurrent urethral infection,urea incontinence,penile malformation,et al.