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題 名 | Treatment of Urethral Diverticulum after Hypospadias Repair--Report of Two Cases=尿道下裂修補術後所造成的尿道憩室--兩病例報告 |
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作 者 | 駱至誠; 林哲男; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:3 民87.05-06 |
頁 次 | 頁192-195 |
分類號 | 416.274 |
關鍵詞 | 尿道下裂修補術; 尿道憩室; Hypospadias; Urethral diverticulum; |
語 文 | 英文(English) |
中文摘要 | 尿道憩室是尿道下裂修補術的併發症之一,遠端尿道口的狹窄、新尿道修復的崩 裂而致尿液外溢或新尿道的設計過大,均可能造成新尿道的鞍狀膨大。 我們在過去兩年內,有二例在尿道下裂手術後發生憩室的經驗,此二例均在尿道遠端出口發 生狹窄且在陰莖及陰囊的交接處有�硎瑑o生。在臨床的症狀方面包括排尿時可見陰莖腹側的 鼓起且在解尿後有滴尿的情況,尿液滯留及尿道的慢性發炎也被注意到。此二例再接受憩室 修補前都有經尿道擴張的治療。 手術的治療包括陰莖的皮膚作環狀脫套式的剝離,切除尿道憩室,併使用多層組織交覆重疊 式的縫合來重建尿道。 經過治療後,其中一位發生術後的傷口感染,且併發尿道�硎煄A於一年後接受�硎猺袑氻滼N 。兩例在個別於一年及二年的追蹤時,發現有直而有力的排尿且無其位的併發症,術後尚稱 良好。 |
英文摘要 | Urethral diverticulum can follow surgical repair for hypospadias. Saccular dilatation of the neourethra may result from distal stenosis causing progressive dilatation, contained urinary extravasation from the breakdown of the repair, or initial creation of an oversized segment of the neourethra. In the past two years, two patients were treated at this hospital for urethral diverticulum after hypospadias surgery. Both cases had a stenotic lesion at the distal meatus and also had a fistula at penoscrotal junction. The presenting symptoms and signs included ventral bulging with voiding and post-void dribbling. Urinary stasis with chronic inflammation was also noted. The patients subsequently underwent urethral dilatation before diveticulum repair. The surgical correction involved a degloving circumferential skin incision, excision of the diverticulum and closure of urethra with overlapping suture lines. After diverticulectomy, one patient had a postoperative wound infection and developed an urethral fistula that needed repair one year later. Both patients voided with a straight full stream and had no other complications with a follow up at 1 year for one patient and 2 years for the other. |
本系統中英文摘要資訊取自各篇刊載內容。