摘要
目的 介绍不伴有尿道下裂的较大苗勒管（ Ｍüｌｌｅｒｉａｎ ｄｕｃｔ） 残余囊肿的诊断及治疗。方法 全组５ 例，均有正常男性外生殖器，年龄５ 个月～６ 岁（平均３ ．３岁） ，主诉脓尿２ 例，湿裤１ 例，腹块１ 例，反复附睾炎１ 例。体检直肠前壁或腹部触及肿块。Ｂ 超、ＣＴ 等影像学检查提示膀胱后囊性占位。５ 例中４ 例经下腹部切口腹膜外囊肿切除，１ 例经剖腹探查切口作囊肿大部切除。结果 ５ 例术后症状、体征均消失，随访１～８ 年，囊肿未见复发。结论 不伴有尿道下裂的苗勒管残余囊肿在小儿罕有报道，常伴有反复尿道感染、附睾炎、排尿困难或腹块等症状。Ｂ超、ＣＴ 等影像学检查可以确诊，但需与重复膀胱、膀胱憩室、精囊囊肿等相鉴别。经耻骨上腹膜外径路作囊肿切除能达到根治。
Objective To introduce diagnosis and management of Müllerian ductal cyst without hypospadias. Method Five patients with Müllerian ductal cyst without hypospadias were reviewed. The patients' age ranged from 5 months to 6 years (means, 3.3 years). Two patients presented with pyuria, 1 with wetting, one with abdominal mass and one with recurrent epididymitis. The cysts were palpable on abdominal or rectal examination. Ultrasound and CT examinations showed a retrovesical cyst. Four cysts were removed via transverse lower abdominal incision extraperitoneally. One was removed intraperitoneally.Results The children were followed up for 1 - 8 years without relapse. Conclusions The Müllerian ductal cyst without hypospadias in children can present as recurrent urinary tract infection, abdominal mass or dysuria. The diagnosis is established by ultrasound or CT examinations. The cysts can be resected via suprapubic extraperitoneal route.
出处
《中华小儿外科杂志》
CSCD
2000年第1期11-13,共3页
Chinese Journal of Pediatric Surgery
