Angwafo F, Andze G, Biouele J M, Sosso M A, Edzoa T, Niat G
Service de Chirurgie, Hôpital Général de Yaoundé, Cameroun.
J Urol (Paris). 1995;101(3):132-7.
We reviewed 22 cases of posterior urethral valves over a five year period (January 1986 to December 1990). We looked at initial management before referral to the urologist, treatment and those factors that influence the outcome. We found that nosocomial infection from catheters was the major source of morbidity and mortality. Other determinants of outcome included postobstructive diuresis and the presence of refluxing or obstructing megaureters. The age of the patients was not as important as the degree of obstruction in this group of patients. We recommend percutaneous cystostomy as initial management for these patients as opposed to urethral catheterisation. This should be followed by antegrade or retrograde valve ablation one week later depending on the size of urethra.
我们回顾了1986年1月至1990年12月这五年间22例后尿道瓣膜病例。我们研究了转诊至泌尿科医生之前的初始治疗、治疗方法以及那些影响治疗结果的因素。我们发现，导尿管引起的医院感染是发病和死亡的主要原因。其他影响治疗结果的因素包括梗阻后利尿以及反流性或梗阻性巨输尿管的存在。在这组患者中，患者的年龄不如梗阻程度重要。我们建议对这些患者采用经皮膀胱造瘘术作为初始治疗方法，而不是尿道插管。一周后应根据尿道大小进行顺行或逆行瓣膜消融术。
