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[后尿道瓣膜——病因、诊断与治疗]

[Posterior urethral valve--etiology, diagnosis and treatment].

作者信息

Tomala-Loś G, Kmiecik J, Stelmach J

机构信息

Pracowni Rentgenowskiej Szpitala Nr 3 W. Sz. Z. w Bielsku-Białej.

出版信息

Przegl Lek. 1994;51(7):311-4.

PMID:7871206
Abstract

The problems concerned the etiology, diagnosis treatment of the posterior urethral valves (PUV) were described. The malformation is found in boys and creates multi-infra cystic barrier symptoms during miction. USG examination is very helpful in the diagnosis of PUV, as well as micturating cysto-urethrography and urodynamic examination. In differential diagnosis of PUV, one must take into account the barrier causes in the following portions of the urinary tract: narrowing of the urethral exit anterior urethral valves, polyps, diverticuli, hypertrophy of the seminal cumulus. Surgical treatment includes valvular electro-resection, laser destruction, widening by the use of Fogarty catheter and Foley catheter ended with a NaCl solution filled balloon.

摘要

文中描述了后尿道瓣膜(PUV)的病因、诊断及治疗相关问题。这种畸形见于男孩,排尿时会产生多种膀胱内囊性梗阻症状。超声检查(USG)对PUV的诊断非常有帮助,排尿性膀胱尿道造影及尿动力学检查也同样如此。在PUV的鉴别诊断中,必须考虑尿路以下部位的梗阻原因:尿道外口狭窄、前尿道瓣膜、息肉、憩室、精阜肥大。手术治疗包括瓣膜电切术、激光毁损术、使用Fogarty导管扩张以及用充满氯化钠溶液的球囊 Foley 导管进行扩张。

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