Ringert R H
Urologe A. 1983 Jul;22(4):188-90.
From 1976 to 1981 111 transurethral operations were performed in 93 children; 39 bladder neck incisions or resections, 43 urethrotomies, 6 resections of urethral valves, 13 transversal incisions of ureteroceles, 7 transurethral biopsies in suspected bladder tumors and 3 resections of the neck of a bladder diverticulum were done. Complications were seen especially in the myelodysplasia-group. Multi-resistant bacteriuria was found in many children even before therapy. Hospital-induced fungal infections were seen twice. Malfunctioning of the hydrocephalus drainage-system developed once after transurethral resection and had a fatal outcome. Indication and complications of seldom done transurethral operations in childhood are discussed.
1976年至1981年期间,对93名儿童进行了111例经尿道手术;其中包括39例膀胱颈切开术或切除术、43例尿道切开术、6例尿道瓣膜切除术、13例输尿管囊肿横向切开术、7例疑似膀胱肿瘤的经尿道活检以及3例膀胱憩室颈部切除术。并发症尤其多见于脊髓发育不良组。许多儿童甚至在治疗前就发现了多重耐药菌尿。出现过两次医院获得性真菌感染。经尿道切除术后曾发生1次脑积水引流系统故障,导致死亡。本文讨论了儿童期少见的经尿道手术的适应症及并发症。