尿道旁腺囊肿误诊为阴道前壁囊肿七例分析

目的分析尿道旁腺囊肿误诊为阴道前壁囊肿的原因，并提出防范措施，以提高诊治水平。方法对我院2000年1月-2011年1月拟诊为阴道前壁囊肿并行手术治疗，术后病理证实为尿道旁腺囊肿7例的临床资料进行回顾性分析。结果本组7例入院后经妇科检查于阴道前壁均可触及单发囊性包块，均行手术剔除囊肿，术后病理证实为尿道旁腺囊肿，1例术后1周发现尿道阴道瘘，术后3个月再次行瘘修补术；1例术后因尿道狭窄行尿道扩张术；余5例术后恢复顺利，无尿道阴道瘘及尿道狭窄等。结论因解剖的位置关系，临床诊断阴道前壁囊肿时也需考虑到尿道旁腺囊肿的可能，行MRI、膀胱镜、排泄性膀胱尿道造影检查可避免误诊并减少尿道损伤。

Analysis of Paraurethral Cyst Misdiagnosed as Paries Anterior Vaginase Cyst(7 Cases)

Objective To explore the cause of paraurethral cyst misdiagnosed as paries anterior vaginase cyst and propose preventive measures in order to improve the diagnosis and treatment.Methods Retrospective analysis of clinical data of 7 patients with paraurethral cyst misdiagnosed as having paries anterior vaginase cyst preoperative admitted during Jan 2000 and Jan 2011 and confirmed by histopathology after surgery were performed.Results A single cystic mass on the anterior vaginal wall could be felt during gynecological examination in 7 patients who later underwent surgery to remove cyst.All the seven patients were confirmed with having paraurethral cyst by postoperative histopathology.One patient was found with urethro vaginal fistula one week after surgery and the fistula was repaired 3 months later,one patient had to undergo dilation of urethra due to urethral stricture,the other five patients recovered well.Conclusion Due to different anatomical locations,clinicians should also consider the possibility of paraurethral gland cyst when diagnose paries vaginase cyst.The MRI,cystoscopy and discharge cysto urethrography examinations can avoid misdiagnosis and reduce urethral injury.