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一名男孩出现会阴瘘，诊断为Y型重复尿道。

Y-type urethral duplication presented with perineal fistula in a boy.

作者信息

Dayanc Murat, Irkilata Hasan Cem, Kibar Yusuf, Bozkurt Yasar, Basal Seref, Xhafa Ajet

机构信息

Gulhane Military Medical Academy, Department of Urology, Ankara, Turkey.

出版信息

Ger Med Sci. 2010 Nov 29;8:Doc33. doi: 10.3205/000122.

DOI:10.3205/000122
PMID:21139990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2996059/
Abstract

Urethral duplication is a rare congenital anomaly of the lower urinary system and has varied presentation. According to the Effmann classification, type IIA2-Y urethral duplication is characterized by the duplicated urethra originating from the bladder neck and opening into either the rectum or the perineum. The accessory urethra is normal and functional and the normally positioned dorsal urethra is hypoplastic and stenotic in unusual form of Y-type duplication. We present a new case with unusual form of Y-type duplication and discuss its treatment.

摘要

尿道重复是下泌尿系统一种罕见的先天性异常，表现多样。根据埃夫曼分类法，IIA2 - Y型尿道重复的特征是重复尿道起源于膀胱颈，开口于直肠或会阴。副尿道正常且有功能，而正常位置的背侧尿道发育不全且狭窄，呈不寻常的Y型重复形式。我们报告一例不寻常形式的Y型重复病例并讨论其治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c431/2996059/7dfd283a4b07/GMS-08-33-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c431/2996059/03565eb914c7/GMS-08-33-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c431/2996059/d59f848a0a3c/GMS-08-33-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c431/2996059/7dfd283a4b07/GMS-08-33-g-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c431/2996059/03565eb914c7/GMS-08-33-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c431/2996059/d59f848a0a3c/GMS-08-33-g-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c431/2996059/7dfd283a4b07/GMS-08-33-g-003.jpg

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本文引用的文献

1
Complex case of urethral duplication with megalourethra.伴有巨尿道的复杂尿道重复畸形病例。
Urology. 2009 Oct;74(4):903-5. doi: 10.1016/j.urology.2008.12.040. Epub 2009 Jul 22.
2
An unique case of Y-type urethral duplication associated with posterior urethral valve.一例罕见的Y型重复尿道合并后尿道瓣膜病例。
Minerva Pediatr. 2008 Aug;60(4):461-3.
3
Urethral duplication in males: our experience in ten cases.男性尿道重复畸形：我们的10例经验
诊断尿道重复畸形，包括一种新颖的放射学诊断算法。
BJR Case Rep. 2016 Dec 19;3(2):20150506. doi: 10.1259/bjrcr.20150506. eCollection 2017.
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Y-type urethral duplication in children: Management strategy at our center.儿童Y型重复尿道：我们中心的管理策略。
J Indian Assoc Pediatr Surg. 2013 Jul;18(3):100-4. doi: 10.4103/0971-9261.116042.
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Urethra duplication with bladder outlet membrane obstruction.尿道重复畸形伴膀胱出口膜性梗阻
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Y-type urethral duplication in the male.男性Y型重复尿道
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A new case of male Y-type urethral duplication and review of literature.男性Y型重复尿道一例并文献复习
J Pediatr Surg. 2006 Jan;41(1):e69-71. doi: 10.1016/j.jpedsurg.2005.10.084.
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Double bladder and related anomalies: clinical and embryological aspects and a case report.重复膀胱及相关畸形：临床和胚胎学方面及病例报告
Br J Urol. 1961 Jun;33:195-214. doi: 10.1111/j.1464-410x.1961.tb11606.x.
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Anomalies of the distal ureter, bladder, and urethra in children: embryologic, radiologic, and pathologic features.儿童远端输尿管、膀胱及尿道的异常：胚胎学、放射学及病理学特征
Radiographics. 2002 Sep-Oct;22(5):1139-64. doi: 10.1148/radiographics.22.5.g02se101139.
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J Paediatr Child Health. 2002 Apr;38(2):117-21. doi: 10.1046/j.1440-1754.2002.00813.x.
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