小儿前尿道瓣膜诊治11例

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第15卷期数: 2016年01期页码: 85-87 栏目: 临床研究出版日期: 2016-02-28

作者:: 张岗; 王盛兴; 杨增雷; 西安市儿童医院泌尿外科

关键词:: ; 尿道/畸形; 憩室; 外科手术; 儿童

文献标志码:: A

摘要:: 目的探讨小儿前尿道瓣膜的治疗方法及临床疗效。方法回顾性分析2003年1月至2013年5月作者收治的11例前尿道瓣膜患儿临床资料，患儿均为男性，年龄3个月至8岁，平均2岁8个月，其中年龄1岁以下6例。8例使用75F或9F膀胱尿道镜在尿道的4点、6点和8点处切开瓣膜，并留置导尿管10 d。对其中3例合并前尿道憩室的患儿，2例行憩室切除、尿道成形术；1例一期行膀胱造瘘术，二期行憩室切除、尿道成形术。结果11例均手术顺利，术后均排尿通畅。无尿瘘及尿道海绵体损伤。随访3个月至4年，平均15年。尿白细胞消失，阴茎阴囊交界处包块消失。合并肾积水2例，膀胱输尿管反流3例，B超复查均有不同程度缓解。肾功能检查血清尿素、肌酐均正常。结论腔内冷刀切开治疗前尿道瓣膜症是一种可行的方法，疗效确切，术后并发症少，预后好。合并前尿道憩室患儿可选择憩室切除、尿道成形术。

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