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目的探讨影像尿动力学检查在诊断小儿尿道直肠瘘中的应用。方法分析应用影像尿动力学检查诊断1例11岁男童尿道直肠瘘的临床资料。患儿主诉肛门闭锁术后、肛门漏尿11年。复习文献总结影像尿动力在指导小儿尿道直肠瘘诊治中的应用。结果影像尿动力学检查提示该患儿尿道直肠瘘的瘘管位于尿道球部,括约肌下方,且膀胱及括约肌功能良好。根据影像尿动力学检查结果采取经会阴部“T”形切口入路行“尿道直肠瘘修补术”。术后患者排尿正常,无并发症。结论影像尿动力学检查能明确诊断小儿尿道直肠瘘,并为其治疗提供指导。
Objective To investigate the application of image urodynamics in the diagnosis of pediatric urethral fistula. Methods The clinical data of 1 urethral rectal fistula in 11-year-old boy diagnosed by imaging urodynamics was analyzed. Children complained of anal atresia, anal leakage of urine for 11 years. Review literature review Imaging urodynamics in the diagnosis and treatment of pediatric urethral fistula. Results Image urodynamic examination showed that the fistula of urethral rectal fistula was located in the urethra and sphincter, and the bladder and sphincter had good function. According to the results of imaging urodynamics through the perineum “T” shaped incision line “urethral rectal fistula repair”. Postoperative patients urination normal, no complications. Conclusions Imaging urodynamics can confirm the diagnosis of pediatric urethral fistula and provide guidance for its treatment.