发育医学电子杂志  2016, Vol. 4 Issue (2): 125-126 |
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生长发育
病例报告
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| 重度尿道下裂合并前列腺囊1例 |
| 韦华玉 霍仲超 |
韦华玉1 霍仲超1,2（1.广西壮族自治区人民医院 泌尿外科，南宁 530021；
2.广西中医药大学研究生院，南宁 530200） |
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| Severe Hypospadias Accompanied the Prostatic Utricle in 1 case |
| WEI Hua-yu, HUO Zhong-chao |
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摘要 1 临床资料
患儿男，2岁，出生时即发现尿道开口于阴茎阴囊交界处，平时患儿排尿时下蹲排尿。入本院后体检：阴茎发育不良，短小，稍屈曲，尿道开口在阴茎与阴囊交界处，阴茎头背侧包皮帽状堆积，合并右侧精索鞘膜积液。诊断：先天性尿道下裂；右精索鞘膜积液。因腹侧尿道板尚可，手术行右鞘状突高位结扎+尿道下裂成型术（Snograss），术中人工行阴茎勃起试验，阴茎伸直满意。术后患儿能站立龟头排尿。术后半个月，患儿间断出现右侧阴囊疼痛。3个月后，在当地医院诊断为右侧附睾炎，予抗感染等对症处理，未见明显好转。再次入本院，考虑尿道外口狭窄（未行尿路造影），行尿道下裂外口整形。出院后，患儿依然反复阴囊疼痛，附睾炎一直未愈，考虑可能存在前列腺囊，行尿路造影提示：“后尿道前列腺部左侧精阜区可见一小囊袋结构突出腔外，其边缘光整，造影剂充盈清晰，余尿道未见明显狭窄，后尿道前列腺部囊状结构。诊断：前列腺囊。后患儿就诊北京儿童医院，考虑前列腺囊小，单纯结扎输精管。术后附睾炎消失。随访：门诊及电话随访2年，患儿排尿通畅，无疼痛，附睾无肿大。
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| 关键词:
尿道下裂')" href="#">尿道下裂
前列腺囊')" href="#">前列腺囊
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收稿日期: 2016-02-22
出版日期: 2016-04-30
发布日期: 2018-01-31
期的出版日期: 2016-04-30
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通讯作者:
韦华玉
E-mail: weihuayu163@163.com
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