尿道断裂从尿道结阻塞在一个孩子的尿道断裂
Chen-Yu Chang1, Yu-Wei Fu2, Yi-Jung Chen1
1Pediatric Nephrology, Changhua Christian Hospital, Changhua, TWN.
Cureus
|June 12, 2025
概括
尿道破裂是儿童尿道结阻塞 (UVJO) 的罕见并发症. 及时诊断和手术修复对于保持功能和预防儿科患者严重后果至关重要.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 遗传异常 是一种先天性异常.
- 手术病例报告 手术病例报告
背景情况:
- 尿道结阻塞 (UVJO) 可以导致儿童的严重并发症.
- 尿道破裂是未经治疗或管理不善的UVJO的不常见但严重的后果.
研究的目的:
- 在患有UVJO.JO的儿童中报告一种罕见的尿管破裂病例.
- 强调对患有先天性尿路异常的儿科患者进行定期随访的重要性.
主要方法:
- 一个5岁男孩患有UVJO和急性腹痛的案例介绍.
- 诊断成像包括腹部计算机断层扫描 (CT) 和DMSA脏扫描.
- 手术探索和重建破裂的尿道.
主要成果:
- 腹部CT显示了右侧水,水尿管和.
- 血清肌素的降低表明尿路,由于尿管破裂.
- DMSA扫描显示,右功能 (16%) 与左功能 (84%) 显著降低.
- 儿科手术证实UVJO具有破裂的远端右尿管,该尿管经过手术修复.
结论:
- 这一案例强调了对患有先天性尿路阻塞的儿科患者进行一致的随访的迫切需要.
- 如果不对患者进行监测,可能会导致严重的发病,包括尿管破裂和严重的功能丧失.
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