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目的探讨先天性尿道皮肤瘘的发病机制、诊断及治疗。方法回顾性分析我院收治的2例先天性尿道皮肤瘘的临床资料,并文献复习。结果两例患儿均有正常的阴茎头正位尿道开口,不伴有阴茎下屈、尿道下裂,包皮分布均匀。完善术前检查,排除手术禁忌证,行尿瘘修补术,术中取阴囊“舌形”转移带蒂皮瓣加盖固定。随访6个月,无发生尿瘘、尿道狭窄等并发症。结论先天性尿道皮肤瘘是一种罕见的先天性尿道畸形,可伴或不伴其他畸形,如尿道下裂、阴茎下屈及肛门直肠畸形等。临床上易于诊断,但需仔细检查以排除是否合并其他畸形,选择最佳的手术方式。
Objective To investigate the pathogenesis, diagnosis and treatment of congenital urethral skin fistula. Methods Retrospective analysis of 2 cases of congenital urethral skin fistula admitted to our hospital, and literature review. Results Both children had normal urethral opening of the penis head, without penile flexion, hypospadias, and uniform foreskin distribution. Perfecting the preoperative examination, excluding surgical contraindications, line of urinary fistula repair, intraoperative scrotum “tongue ” transfer belt pedicle flap fixed. Follow-up 6 months, no occurrence of urinary fistula, urethral stricture and other complications. Conclusion Congenital urethral skin fistula is a rare congenital urethral deformity, with or without other deformities, such as hypospadias, penile flexion and anorectal malformations. Clinically easy to diagnose, but to be carefully checked to rule out the possibility of other deformities, choose the best surgical approach.