儿童重复尿道畸形诊治分析

目的探讨儿童重复尿道畸形的合理治疗方法，提高儿童重复尿道的诊疗水平。方法回顾性分析作者自1978年至2011年收治的9例重复尿道畸形患儿临床资料，分析诊治过程及疗效。结果9例患儿中IA型3例，IB型1例，ⅡA2型1例，ⅡB型1例，Y型3例，术后平均随访1年2个月，8例阴茎外观满意，控尿功能良好，1例阴茎仍存在轻度背曲。结论对伴有尿道梗阻、反复尿道感染、尿失禁、阴茎畸形等的患儿应予手术治疗，儿童重复尿道畸形的临床表现依分型而异，应根据分型采取个体化治疗方案。

Urethral duplication in children.

Objective To evaluate the reasonable treatment for urethral duplication in children,improve diagnosis and treatment standard of urethral duplication. Method We retrospectively reviewed the clinical da- ta of nine cases of urethral duplication managed in our department from 1978 to 2011, discusses the diagnosis technology and clinical operation methods for urethral duplication. Results In our series of nine cases, three were type IA, one was IB, one was type II A2, one was type II B and three were of Y-duplication. All of them were followed up after operation, mean time was 14 months, ranging from 3 months to 5 years. 8 cases got satis- factory appearance penis and good micturition function, but one case still has mild penis bending upwards. Conclusion To urethral duplication in children with obstruction of the urethra, repeated urinary tract infection, incontinence, penis malformations ,we suggest that should take operation to treat. The clinical manifestations of urethral duplication is different in classification, operation should be according to the points to the individual treatment