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单根异位输尿管开口于加特内管囊肿的临床病理及胚胎学考量:一种独特的单根阴道异位亚型

Clinicopathological and embryological considerations of single ectopic ureters opening into Gartner's duct cyst: a unique subtype of single vaginal ectopia.

作者信息

Gotoh T, Koyanagi T

出版信息

J Urol. 1987 May;137(5):969-72. doi: 10.1016/s0022-5347(17)44315-1.

DOI:10.1016/s0022-5347(17)44315-1
PMID:3573200
Abstract

We report 6 cases of single ectopic ureters opening into a Gartner's duct cyst. All but 1 patient were children. The presenting symptoms were urinary incontinence, urinary tract infection, a vaginal mass or weight loss. All but 1 patient had a mass protruding into the vagina. In 5 cases nephroureterectomy was performed successfully. The cyst wall was left untouched to allow for its spontaneous collapse. Although 2 cysts were found to communicate with the vagina, 4 presented as a closed space. All resected kidneys were more dysplastic than those with vaginal ectopia without cyst formation. The etiology and pathogenesis of the anomaly are unknown but some speculations are made.

摘要

我们报告了6例单根异位输尿管开口于加特内管囊肿的病例。除1例患者外,其余均为儿童。主要症状为尿失禁、尿路感染、阴道肿物或体重减轻。除1例患者外,其余均有肿物突入阴道。5例成功进行了肾输尿管切除术。囊肿壁未予处理,任其自行塌陷。虽然发现2个囊肿与阴道相通,但4个表现为封闭腔隙。所有切除的肾脏均比无囊肿形成的阴道异位患者的肾脏发育异常更严重。该异常的病因和发病机制尚不清楚,但有一些推测。

相似文献

1
Clinicopathological and embryological considerations of single ectopic ureters opening into Gartner's duct cyst: a unique subtype of single vaginal ectopia.单根异位输尿管开口于加特内管囊肿的临床病理及胚胎学考量:一种独特的单根阴道异位亚型
J Urol. 1987 May;137(5):969-72. doi: 10.1016/s0022-5347(17)44315-1.
2
Single vaginal ectopic ureter via Gartner's duct cyst spontaneously perforating into the bladder.经加特纳管囊肿形成的单一阴道异位输尿管自发穿孔进入膀胱。
J Urol. 1989 Oct;142(4):1044-6. doi: 10.1016/s0022-5347(17)38983-8.
3
Gartner's duct cyst with a single vaginal ectopic ureter and associated renal dysplasia or agenesis.加特纳管囊肿伴单一阴道异位输尿管及相关肾发育不全或肾缺如。
J Ultrasound Med. 1993 Dec;12(12):775-8. doi: 10.7863/jum.1993.12.12.775.
4
A "flipped" kidney in utero in an infant with a double collecting system and a Gartner's duct cyst with a vaginal ectopic ureter.一名患有重复集合系统、加特纳管囊肿及阴道异位输尿管的婴儿,其子宫内存在“翻转”肾。
Pediatr Radiol. 1995;25(6):466-8. doi: 10.1007/BF02019069.
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Single vaginal ectopic ureter and Gartner's duct cyst with ipsilateral renal hypoplasia and dysplasia (or agenesis).单一阴道异位输尿管和加特纳管囊肿伴同侧肾发育不全和发育异常(或肾缺如)。
J Urol. 1982 Nov;128(5):988-93. doi: 10.1016/s0022-5347(17)53311-x.
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Congenital urogenital anomalies that are associated with the persistence of Gartner's duct: a review.与加特纳管持续存在相关的先天性泌尿生殖系统异常:综述
Am J Obstet Gynecol. 2006 Aug;195(2):354-9. doi: 10.1016/j.ajog.2005.10.815. Epub 2006 Apr 21.
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Gartner's duct cyst with unilateral renal dysplasia presenting as an introital mass in a new born.加特纳管囊肿合并单侧肾发育不全,表现为新生儿阴道开口处肿物
Pediatr Surg Int. 1999;15(3-4):277-9. doi: 10.1007/s003830050577.
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Recurrent giant Gartner's duct cysts. A report of two cases.复发性巨大加特纳管囊肿。两例报告。
J Reprod Med. 2001 Aug;46(8):773-5.
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[Gartner's cyst communicating with the bladder and vagina with associated complete vaginal diaphragm].[加特纳囊肿与膀胱和阴道相通并伴有完全性阴道横隔]
J Radiol. 2005 Feb;86(2 Pt 1):170-2. doi: 10.1016/s0221-0363(05)81339-3.
10
Classification and embryological aspects of ectopic ureters communicating with Gartner's cysts.与加特纳囊肿相通的异位输尿管的分类及胚胎学方面
Diagn Gynecol Obstet. 1982 Winter;4(4):269-73.

引用本文的文献

1
Supernumerary kidneys: a clinical and radiological analysis of nine cases.额外肾:九例临床和影像学分析。
BMC Urol. 2019 Oct 17;19(1):93. doi: 10.1186/s12894-019-0522-0.
2
Gartner's duct cysts: a review of surgical management and a new technique using fluorescein dye.加特纳管囊肿:手术治疗综述及使用荧光素染料的新技术
Int Urogynecol J. 2020 Jan;31(1):55-61. doi: 10.1007/s00192-019-04091-9. Epub 2019 Aug 30.
3
Benign masses of the female periurethral tissues and anterior vaginal wall.女性尿道周围组织及阴道前壁的良性肿块。
Curr Urol Rep. 2008 Sep;9(5):389-96. doi: 10.1007/s11934-008-0067-3.
4
Single-system ectopic ureters associated with renal dysplasia.与肾发育不全相关的单系统异位输尿管。
Pediatr Surg Int. 2004 Dec;20(11-12):851-4. doi: 10.1007/s00383-004-1296-2. Epub 2004 Nov 9.
5
A "flipped" kidney in utero in an infant with a double collecting system and a Gartner's duct cyst with a vaginal ectopic ureter.一名患有重复集合系统、加特纳管囊肿及阴道异位输尿管的婴儿,其子宫内存在“翻转”肾。
Pediatr Radiol. 1995;25(6):466-8. doi: 10.1007/BF02019069.
6
MR imaging and sonography of Gartner's duct cyst and single ectopic ureter with ipsilateral renal dysplasia.加特纳管囊肿及单发性异位输尿管伴同侧肾发育不全的磁共振成像和超声检查
Pediatr Radiol. 1992;22(6):472-3. doi: 10.1007/BF02013519.