De Castro R, Campobasso P, Belloli G, Pavanello P
Department of Pediatric Surgery, University of Bologna, Italy.
Eur J Pediatr Surg. 1993 Apr;3(2):92-6. doi: 10.1055/s-2008-1063519.
Seventeen cases of a solitary polyp of posterior urethra in children (ages ranged between 4 months and 12 years) are presented. All patients were treated endoscopically using a 10 Fr. pediatric cystoscope, equipped with a straight ahead lens, and a Bugbee 3 Fr. electrode to fulgurate the stalk of the polyp through the urethra, without meatotomy. No complications or relapses are recorded, which proves the safety and the efficiency of the transurethral endoscopic resection in all pediatric ages. With the exception of one case, the smallest polyp of the series, lost because entirely burnt during the electrocution, all polyps were recuperated and examined histologically. The dimensions of the polyps ranged from 4 mm to 27 mm length. Their shape varied from a long "cordon-like" peduncle to a short stalk, "balloon-like" appendix. The histologic features were similar, the main component was an axis of connective tissue and vessels, surrounded by transitional epithelium, usually described as a fibroepithelial polyp.
本文报告了17例儿童后尿道孤立性息肉病例（年龄在4个月至12岁之间）。所有患者均使用10 Fr.儿科膀胱镜进行内镜治疗，该膀胱镜配备直视镜头和3 Fr. Bugbee电极，通过尿道对息肉蒂部进行电灼，无需行尿道口切开术。未记录到并发症或复发情况，这证明了经尿道内镜切除术在所有儿童年龄段的安全性和有效性。除了该系列中最小的一个息肉病例，因在电灼过程中完全烧焦而丢失外，所有息肉均被回收并进行了组织学检查。息肉的长度从4毫米到27毫米不等。其形状从长的“索状”蒂到短蒂、“气球样”附件各不相同。组织学特征相似，主要成分是结缔组织和血管轴，周围被移行上皮包围，通常被描述为纤维上皮性息肉。
