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脐尿管疾病的诊断及治疗(附11例报告) 被引量:4

The diagnosis and treatment of urachal anomalies(Report of 11 cases)
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摘要 目的探讨脐尿管疾病的诊断与治疗方法。方法分析总结我院从1994年7月至2005年3月间收治的11例脐尿管疾病患者的临床资料。结果手术及病理检查证实脐尿管囊肿合并感染5例、脐尿管慢性非特异性肉芽肿2例、脐尿管瘘合并感染1例、脐尿管窦道合并感染2例、脐尿管鳞状细胞癌1例。患者术后恢复良好,排尿正常,9~21d出院。结论膀胱镜检查、经脐孔或膀胱美蓝灌注实验、瘘管造影、B超、CT等检查对脐尿管疾病的诊断及治疗具有重要意义,病理检查为确诊依据,手术应尽可能彻底切除脐尿管及病变组织。 Objective To probe into the diagnosis and treatment of urachal anomalies. Methods To summarize and analyse the clinical material of 11 cases with urachal anomalies, these cases were treated in our hospital from Jul. 1994 to Mar. 2005. Results Operation and pathology confirmed urachal cyst with infection 5 cases, chronic characterless granulomatosis of urachal 2 cases, urachal fistula with infection 1 case,sinus of urachus with infection 2 cases, urachal squamous cell carcinoma 1 case. The 11 patients had normal voiding function postoperatively. Hospital stay of the patients was from 9 to 21 days. Conclusions Cystoscopy, mythylene blue injection test of umbillical fistular or bladder, fistulography, ultrasound computerized tomography scan are very important for diagnosis andtreatment of urachal anomalies. The purpose of the operation is to remove all the abnormal tissues as completely as possible.
出处 《临床外科杂志》 2006年第8期506-507,共2页 Journal of Clinical Surgery
关键词 脐尿管 囊肿 感染 肿瘤 urachal fistula cyst infection carcinoma
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