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例1男,6岁,因下腹壁肿物就诊。体检身材矮小,腹部未见脐孔,下腹壁正中缺损6×4cm,内有一5×3×3cm 的红色肿物,轻度充血水肿、糜烂,肿物下部两侧见米粒大对称小孔,相距2cm,尿液从孔中不断漏出,阴茎短小,长1.6cm,与肿物相连,背侧尿道粘膜外露,阴囊小,仅在两侧皮下环处扪及直径0.5cm 的睾丸各1个。x 线片示耻骨联合分离,相距5.5cm,耻骨狭小,闭孔消失,髂骨翼显著张开,小骨盆呈长方形失去正常形态。静脉肾盂造影双侧肾盂、输尿管正常,排泄功能良好。临床诊断:(1)完全性膀胱外翻;(2)尿道上裂;(3)双侧睾丸下降不全。
Example 1 Male, 6 years old, due to lower abdominal wall tumor. Physical examination of short stature, abdomen no umbilical hole, the middle of the lower abdominal wall defect 6 × 4cm, there is a 5 × 3 × 3cm of red tumor, mild congestion and edema, erosion, the lower part of the tumor see the symmetrical symmetrical small holes on both sides of the tumor, 2cm, urine constantly leaks from the hole, short penis, length 1.6cm, connected with the tumor, the dorsal urethral mucosa exposed, small scrotum, palpable only 0.5cm in diameter on both sides of the subcutaneous ring testicular 1. x-ray showed pubic symphysis separation, a distance of 5.5cm, pubic narrow, obturator disappeared, iliac wing was significantly open, a small rectangular pelvis lost its normal form. Intravenous pyelography bilateral renal pelvis, ureter, excretion function well. Clinical diagnosis: (1) Complete bladder valgus; (2) Urethral fissure; (3) bilateral testicular descent.