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目的总结先天性男性前尿道憩室的临床诊断和治疗特点。方法回顾性分析1996年1月1日至2009年9月1日收治的4例先天性男性前尿道憩室的临床资料,包括临床表现、影像学检查、手术方法、术后随访等。结果 4例患者年龄3个月～3岁,均为出生后即有尿路梗阻症状,包括排尿困难,尿后滴沥等,排尿时阴茎根部至阴囊可见包块鼓起,均行了排泄性膀胱尿路造影、超声及尿道镜检,1例行MRI检查,均可于术前明确诊断。4例患者都行了开放性前尿道憩室切除和尿道整形术。术后随访15～99个月,患者均恢复好,排尿通畅,未见尿道狭窄和尿道憩室复发病例。结论对出生后出现尿路梗阻的男性患者要考虑到先天性前尿道憩室的可能性而进一步做检查明确诊断,同时要注意与尿道憩室并存的泌尿系统畸形。对先天性前尿道憩室建议开放手术,即憩室切除同时行尿道整形,手术效果好。
Objective To summarize the clinical diagnosis and treatment of congenital anterior urethral diverticulum. Methods The clinical data of 4 cases of congenital anterior urethral diverticulum admitted to our hospital from January 1, 1996 to September 1, 2009 were analyzed retrospectively, including clinical manifestations, imaging findings, surgical procedures and postoperative follow-up. Results 4 patients aged 3 months to 3 years old, are all symptoms of urinary tract obstruction after birth, including dysuria, drip drip after urination, urination, the root of the penis to the scrotum visible bulging mass, were discharged excretory bladder Urography, ultrasound and urethral examination, 1 case of MRI, can be diagnosed before surgery. All 4 patients underwent open anterior urethral diverticulum resection and urethral plastic surgery. The patients were followed up for 15-99 months. The patients recovered well and urination was smooth. No cases of urethral stricture and urethral diverticulum recurrence were found. Conclusions Male patients with post-natal urinary tract obstruction should take further examination and confirm the diagnosis taking into account the possibility of congenital anterior urethral diverticulum. At the same time, attention should be paid to the urinary malformations that coexist with urethral diverticula. Congenital anterior urethral diverticulum is recommended for open surgery, diverticular resection at the same time urethral plastic surgery good effect.