[尿道下裂中精阜的尾侧移位及椭圆囊增大]

[Caudal migration of the verumontanum and enlargement of the utricle in hypospadias].

作者信息

Ikoma F, Hohenfellner R, Yamamoto S

机构信息

Urologische Klinik, Medizinischen Universität Hyogo, 18-27, Higashiyama-cho, 659-0091, Ashiya, Japan.

出版信息

Urologe A. 2014 Sep;53(9):1344-9. doi: 10.1007/s00120-014-3597-y.

DOI:10.1007/s00120-014-3597-y

PMID:25142789

Abstract

Hypospadias is one of the morphological and functional alterations of the internal urogenital organs under the influence of androgen deficiency. In the time period 1974-1998 a total of 823 cases of hypospadias were surgically treated and the findings of the preoperative X-ray diagnostics with micturating cystourethrogram (MCU) and urethrocystogram (UCG) as well as urethrocystoscopy were analyzed. A caudal migration of the verumontanum could be detected in 55% of cases with hypospadias (453/823) and in 79% (322/403) of middle grade (penoscrotal) and high grade (scrotoperineal) cases of hypospadias. Enlargement of the utricle was present in 31.5% (259/823) cases of hypospadias and in 46.2% (186/423) of middle grade (penoscrotal) and high grade (scrotoperineal) cases of hypospadias.

摘要

尿道下裂是雄激素缺乏影响下泌尿生殖器官的形态和功能改变之一。在1974年至1998年期间，共对823例尿道下裂患者进行了手术治疗，并分析了术前排尿性膀胱尿道造影（MCU）、尿道膀胱造影（UCG）以及尿道膀胱镜检查的X线诊断结果。在55%（453/823）的尿道下裂病例中可检测到精阜尾侧移位，在79%（322/403）的中度（阴茎阴囊型）和重度（阴囊会阴型）尿道下裂病例中也可检测到。31.5%（259/823）的尿道下裂病例存在前列腺囊增大，在46.2%（186/423）的中度（阴茎阴囊型）和重度（阴囊会阴型）尿道下裂病例中也存在前列腺囊增大。