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目的:探讨儿童后尿道瓣膜症的临床表现特点、诊疗方法及效果。方法:回顾分析本院2006年8月～2011年6月诊治的19例后尿道瓣膜患者。所有患儿均有不同程度的排尿困难,合并肾积水18例,膀胱输尿管反流10例。15例行经尿道后尿道瓣膜电切术,于12点处切开至足够口径,术后留置导尿6～30 d,随访1～42个月时间。2例给予留置导尿引流,1例自行好转,1例自动出院。结果:行后尿道瓣膜电切术15例中12例有好转,无明显术后并发症,排尿困难症状明显缓解,反复尿路感染控制。术后9例随访肌酐、尿素氮恢复明显(P<0.05)。结论:早期发现后尿道瓣膜并行切开手术对缓解患者排尿症状,挽救肾功能作用巨大。
Objective: To investigate the clinical manifestations, diagnosis and treatment methods and effects of posterior urethral valve disease in children. Methods: A retrospective analysis of our hospital from August 2006 to June 2011 diagnosis and treatment of 19 cases of posterior urethral valve patients. All children have different degrees of dysuria, hydronephrosis in 18 cases, 10 cases of vesicoureteral reflux. 15 cases of transurethral posterior urethral resection of the valve, at 12 o’clock cut to a sufficient caliber, postoperative catheterization 6 ~ 30 d, followed up for 1 to 42 months. Two cases were given indwelling catheter drainage, one case improved on their own, and one case was discharged automatically. Results: The posterior urethral resection of the valve in 15 cases improved in 12 cases, no obvious complications, dysuria symptoms were relieved, repeated urinary tract infection control. Postoperative 9 patients were followed up creatinine, urea nitrogen recovery was significantly (P <0.05). Conclusion: The early detection of posterior urethral valve surgery to relieve urinary symptoms in patients with salvage a huge effect on renal function.