儿童前列腺囊合并附睾炎的诊断和治疗进展
Diagnosis and Treatment of Prostatic Utricle with Epididymitis in Children
DOI: 10.12677/ACM.2022.125718, PDF,   
作者: 周 宏, 刘 丰, 何兴跃：重庆医科大学，重庆
关键词: 前列腺囊；附睾炎；尿道；Prostatic Utricle； Epididymitis； Urethra
摘要: 前列腺囊是男性胚胎发育过程中苗勒管和尿生殖窦退化的产物。在正常患儿中少见，而在尿道下裂及性发育异常患儿中常见。小的前列腺囊大多无明显临床症状，无需特殊处理；部分较大的前列腺囊有多种临床表现，常见反复泌尿系感染、附睾炎、血尿等，以附睾炎发病率较高。前列腺囊合并附睾炎的诊断和治疗策略仍需进一步探索。
Abstract: Prostatic sac is the product of the degeneration of mullerian duct and urogenital sinus during male embryonic development. It is rare in normal children, but common in children with hypospadias and sexual dysplasia. Most of the small prostate cysts have no obvious clinical symptoms and do not need special treatment. Some of the larger prostate sac has many clinical manifestations, including recurrent urinary tract infection, epididymitis, hematuria, etc. The incidence rate of epididymitis is high, about 33%. The diagnosis and treatment of prostatic sac complicated with epididymitis still need to be further explored.
文章引用：周宏, 刘丰, 何兴跃. 儿童前列腺囊合并附睾炎的诊断和治疗进展[J]. 临床医学进展, 2022, 12(5): 4957-4960. https://doi.org/10.12677/ACM.2022.125718

参考文献

[1] Dik, P., Lock, T.M., Schrier, B.P., et al. (1996) Transurethral Marsupialization of a Medial Prostatic Cyst in Patients with Prostatitis-Like Symptoms. Journal of Urology, 155, 1301-1304.
[Google Scholar] [CrossRef] 
[2] de Vries, J.D.M. (1986) Hypospadias Repair with the Transverse Inner Preputial Island Flap Technique. Nijmegen, The Netherlands.
[3] 孙小刚, 李殿国, 徐加龙, 等. 小儿前列腺囊的临床病理表现和诊疗分析[J]. 中华泌尿外科杂志, 2017, 38(2): 146.
[4] Priyadarshi, V., Singh, J.P., Mishra, S., et al. (2013) Prostatic Utricle Cyst: A Clinical Dilemma. APSP Journal of Case Reports, 4, Article No. 16.
[5] 刘俊宏, 李旭良, 魏光辉, 等. 尿道下裂伴发前列腺囊的诊断及治疗[J]. 中华小儿外科杂志, 2005, 26(10): 514-516.
[6] Yeung, C.K., Sihoe, J.D., Tam, Y.H., et al. (2002) Laparoscopic Excision of Prostatic Utricles in Children. BJU International, 87, 505-508.
[Google Scholar] [CrossRef] 
[7] Spence, H.M. and Chenoweth, V.C. (1958) Cysts of Prostatic Utricle (Müllerian Duct Cysts): Report of Two Cases in Children, Each Containing Calculi, Cured by Retropubic Operation. Journal of Urology, 79, 308-314.
[Google Scholar] [CrossRef] 
[8] Ikoma, F., Shima, H. and Yabumoto, H. (1985) Classification of Enlarged Prostatic Utricle in Patients with Hypospadias. British Journal of Urology, 57, 334-337.
[Google Scholar] [CrossRef] 
[9] Wernert, N., Kern, L., Heitz, P., et al. (1990) Morphological and Immunohistochemical Investigations of the Utriculus Prostaticus from the Fetal Period up to Adulthood. The Prostate, 17, 19-30.
[Google Scholar] [CrossRef] [PubMed]
[10] Sajjad, Y. (2010) Development of the Genital Ducts and External Genitalia in the Early Human Embryo. Journal of Obstetrics and Gynaecology Research, 36, 929-937.
[Google Scholar] [CrossRef] [PubMed]
[11] Shapiro, E., Huang, H., McFadden, D.E., et al. (2004) The Prostatic Utricle Is Not a Müllerian Duct Remnant: Immunohistochemical Evidence for a Distinct Urogenital Sinus Origin. Journal of Urology, 172, 1753-1756.
[Google Scholar] [CrossRef] [PubMed]
[12] Oh, C.S., Chung, I.H., Won, H.S., et al. (2009) Morphologic Variations of the Prostatic Utricle. Clinical Anatomy, 22, 358-364.
[Google Scholar] [CrossRef] [PubMed]
[13] Jia, W., Liu, G.C., Zhang, L.Y., et al. (2016) Comparison of Laparoscopic Excision versus Open Transvesical Excision for Symptomatic Prostatic Utricle in Children. Journal of Pediatric Surgery, 51, 1597-1601.
[Google Scholar] [CrossRef] [PubMed]
[14] Mostafa, I.A., Woodward, M.N. and Shalaby, M.S. (2017) Cystoscopic-Assisted Laparoscopic Excision of Prostatic Utricle. Journal of Pediatric Urology, 14, 77-78.

为你推荐