CAJ | 학술논문

目的探讨女性先天性后尿道瓣膜的临床诊断及治疗.方法回顾性分析1例女性先天性后尿道瓣膜的临床资料:患儿女性,7个月,足月剖宫产,因反复发热6个月就诊.家属否认其他病史.患儿出生后约30d因发热在当地综合性医院以“急性上呼吸道感染”行抗感染治疗,症状好转；但反复发作,约15 ～ 30d发作一次,至7个月大时再次因发热住院,尿常规提示白细胞+++,彩超提示:双肾积水,双侧输尿管扩张,抗感染治疗发热控制后转诊本院；膀胱镜检发现膀胱颈后壁黏膜酷似二尖瓣样皱起,膀胱壁小梁纵生,输尿管间峭肥厚,行瓣膜切开术.结果术后排尿通畅,未再发热,双肾积水明显减轻.随访至今患儿发育良好,未再发作类似病史,双肾积水消失.结论女性后尿道瓣膜由于十分罕见导致诊断相对较困难,且并发症严重；如早期能及时发现,手术是解除的唯一方法,且愈后良好.但要提高认识,术后要跟踪随访.
목적 탐토녀성선천성후뇨도판막적림상진단급치료.방법 회고성분석1례녀성선천성후뇨도판막적림상자료:환인녀성,7개월,족월부궁산,인반복발열6개월취진.가속부인기타병사.환인출생후약30d인발열재당지종합성의원이“급성상호흡도감염”행항감염치료,증상호전；단반복발작,약15 ～ 30d발작일차,지7개월대시재차인발열주원,뇨상규제시백세포+++,채초제시:쌍신적수,쌍측수뇨관확장,항감염치료발열공제후전진본원；방광경검발현방광경후벽점막혹사이첨판양추기,방광벽소량종생,수뇨관간초비후,행판막절개술.결과 술후배뇨통창,미재발열,쌍신적수명현감경.수방지금환인발육량호,미재발작유사병사,쌍신적수소실.결론 녀성후뇨도판막유우십분한견도치진단상대교곤난,차병발증엄중；여조기능급시발현,수술시해제적유일방법,차유후량호.단요제고인식,술후요근종수방.
Objectives To investigate the female the clinical diagnosis and treatment of congenital posterior urethral valve.Methods Retrospective analysis the clinical data of 1 case women congenital posterior urethral valve:women,children,seven months,full-term cesarean delivery,because of repeated fever clinic with 6 months.Family denied other medical history.Children with fever,about 30 days after he was born in local general hospital to do anti-infection treatment of acute upper respiratory tract infection,symptoms get better; But break out repeatedly,about 15 to 30 days time,and 7 months old because of fever in the hospital again,routine urine the leucocytes + + +,Color Doppler Ultrasonic:double kidney seeper,bilateral ureteral expansion,anti-infection treatment after heating control referral hospital; Found microscopic examination of the bladder wall of bladder neck mucosa wrinkled like mitral valve samples,bladder wall trabecular ZongSheng,ureteral forms between hypertrophy,valvotomy.Results Postoperative micturition unobstructed,have fever again,double kidney seeper significantly reduce.Follow-up of children with well developed,not yet to attack similar to the history,double kidney seeper disappear.Conclusions Women posterior urethral valves diagnosis is relatively difficult,due to a rare and serious complications; Such as timely found that early surgery is the only way to lift,and the more good.But to raise awareness and to track with the proof.