Connor J P, Hensle T W, Berdon W, Burbige K A
Department of Urology, Babies Hospital, Columbia-Presbyterian Medical Center, New York, New York.
J Urol. 1988 Nov;140(5 Pt 2):1319-22. doi: 10.1016/s0022-5347(17)42035-0.
Between 1970 and 1985, 10 male newborns with a contained urinoma were treated at our institution. An underlying congenital obstructive uropathic condition was discovered in every patient, the most common of which was posterior urethral valves. All 10 patients underwent surgical correction of the primary obstructive process. Direct drainage of the urinoma was required in 4 patients because of progressive clinical symptoms. Radiographic and renal functional parameters returned to normal at followup. Clinical presentation, evaluation, treatment and pathophysiology of this rare entity are discussed.
1970年至1985年间,我院收治了10例患有包裹性尿囊肿的男性新生儿。在每名患者中均发现了潜在的先天性梗阻性尿路疾病,其中最常见的是后尿道瓣膜。所有10例患者均接受了原发性梗阻性病变的手术矫正。4例患者因临床症状进展需要对尿囊肿进行直接引流。随访时影像学和肾功能参数恢复正常。本文讨论了这种罕见疾病的临床表现、评估、治疗及病理生理学。