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儿童下尿路重复畸形

Duplications of the lower urinary tract in children.

作者信息

Woodhouse C R, Williams D I

出版信息

Br J Urol. 1979 Dec;51(6):481-7. doi: 10.1111/j.1464-410x.1979.tb03583.x.

DOI:10.1111/j.1464-410x.1979.tb03583.x
PMID:534829
Abstract

Seven cases of bladder duplication are described, and compared with 27 cases of urethral duplication. Bladder duplication was collateral while urethral duplication was usually in the sagittal plane. The conditions may coexist when the duplication of the bladder extends caudally to produce a collateral urethral duplication, but in one boy bladder duplication was associated with 4 urethrae in the sagittal plane. In 5 cases the bladders were united; in 2 cases, one bladder was excised. The results were satisfactory in 6 and in one the bladder failed to empty. The basic defects that lead to duplication are unknown. Several features of the conditons suggest that there are different aetiologies in each type. There are similarities with the exstrophy epispadias complex. Even when there are major abnormalities in other systems the general and urological prognosis is good.

摘要

本文描述了7例膀胱重复畸形的病例,并与27例尿道重复畸形的病例进行了比较。膀胱重复畸形是旁侧性的,而尿道重复畸形通常位于矢状面。当膀胱重复畸形向尾侧延伸导致旁侧性尿道重复畸形时,两种情况可能同时存在,但在1例男孩中,膀胱重复畸形与矢状面的4条尿道相关联。5例患者的膀胱是相连的;2例患者中,切除了一个膀胱。6例患者的结果令人满意,1例患者膀胱无法排空。导致重复畸形的基本缺陷尚不清楚。这些情况的几个特征表明每种类型都有不同的病因。与膀胱外翻-尿道上裂综合征有相似之处。即使其他系统存在严重异常,总体和泌尿系统预后也良好。

相似文献

1
Duplications of the lower urinary tract in children.儿童下尿路重复畸形
Br J Urol. 1979 Dec;51(6):481-7. doi: 10.1111/j.1464-410x.1979.tb03583.x.
2
Rare variant of bladder exstrophy associated with urethral, bladder, and colonic duplication.与尿道、膀胱和结肠重复相关的膀胱外翻罕见变异型。
Urology. 2009 Apr;73(4):928.e1-3. doi: 10.1016/j.urology.2008.06.037. Epub 2008 Aug 20.
3
Complete duplication of bladder and urethra in coronal plane with no other anomalies: case report with review of the literature.膀胱和尿道在冠状面完全重复且无其他异常:病例报告并文献复习
Urology. 2005 Feb;65(2):388. doi: 10.1016/j.urology.2004.08.043.
4
Urethral duplication--a wide spectrum of anomalies.尿道重复畸形——一种广泛的异常。
J Pediatr Urol. 2013 Dec;9(6 Pt B):1064-71. doi: 10.1016/j.jpurol.2013.03.006. Epub 2013 Apr 24.
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The exstrophy-epispadias complex in the duplicated lower urinary tract.重复下尿路中的膀胱外翻-尿道上裂复合体
J Urol. 1998 May;159(5):1681-3. doi: 10.1097/00005392-199805000-00091.
6
Bladder, urethral, and vaginal duplication.
J Pediatr Surg. 1995 Jan;30(1):125-6. doi: 10.1016/0022-3468(95)90630-4.
7
Urethral duplication and complete bladder exstrophy.尿道重复畸形与完全性膀胱外翻
J Urol. 1985 Feb;133(2):276-8. doi: 10.1016/s0022-5347(17)48916-6.
8
Exstrophy-epispadias complex associated with complete urethral duplication: preoperative diagnosis is a must.伴有完全性尿道重复的膀胱外翻-尿道上裂复合畸形:术前诊断必不可少。
Urology. 2009 Dec;74(6):1228-9. doi: 10.1016/j.urology.2009.05.022. Epub 2009 Jul 17.
9
Complete bladder and urethral duplication with normal urodynamic function associated with visceral sequestration.完全性膀胱及尿道重复,伴有正常尿动力学功能及内脏隔离。
Urology. 2012 Apr;79(4):906-7. doi: 10.1016/j.urology.2011.08.037. Epub 2011 Oct 15.
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Covered exstrophy and visceral sequestration with complete double bladder.隐匿性膀胱外翻合并完全性双膀胱及内脏分离
J Urol. 1994 Feb;151(2):455-6. doi: 10.1016/s0022-5347(17)34988-1.

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2
Epispadic accessory urethra in an 8-month-old female with urethral duplication: a case report.8个月大女性尿道重复畸形合并尿道上裂附属尿道1例报告
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Missed urethral duplication associated with hypospadias, post-hypospadias repair urethral stenosis, and recurrent urinary tract infections in an adult: a case report.
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Anorectal malformation, urethral duplication, occult spinal dysraphism (ARM-UD-OSD): a challenging uncommon association.肛门直肠畸形、尿道重复畸形、隐性脊柱裂(ARM-UD-OSD):一种具有挑战性的罕见综合征。
Pediatr Surg Int. 2022 Oct;38(10):1487-1494. doi: 10.1007/s00383-022-05186-z. Epub 2022 Jul 26.
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Epispadias associated with urethral duplication: Our practice.伴有尿道重复畸形的尿道上裂:我们的诊疗经验
Int J Surg Case Rep. 2020;71:199-201. doi: 10.1016/j.ijscr.2020.05.002. Epub 2020 May 27.
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Complete Urethral Duplication: Case Report and Literature Review.完全性尿道重复:病例报告与文献综述
Res Rep Urol. 2020 Jan 24;12:15-20. doi: 10.2147/RRU.S239106. eCollection 2020.
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Urethral duplication with rectourethral fistula: Review of two cases.尿道重复畸形合并直肠尿道瘘:两例病例报告
Urol Ann. 2020 Jan-Mar;12(1):92-95. doi: 10.4103/UA.UA_25_19. Epub 2019 Nov 7.
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Urethral Duplication in Children: Experience of Twenty Cases.儿童尿道重复畸形:20例经验
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Diagnosing urethral duplication including a novel radiological diagnostic algorithm.诊断尿道重复畸形,包括一种新颖的放射学诊断算法。
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An unusual presentation of urethral duplication presenting with chronic bladder retention, left scrotal transposition and left renal agenesis.尿道重复畸形的一种不常见表现,伴有慢性膀胱潴留、左侧阴囊转位和左侧肾缺如。
Int Braz J Urol. 2018 Mar-Apr;44(2):409-410. doi: 10.1590/S1677-5538.IBJU.2016.0119.