摘要
目的 :探讨先天性脐尿管异常疾病的诊断与治疗方法。方法 :根据病史并结合脐孔或膀胱美蓝注射试验、膀胱镜检查 瘘管造影、B超、CT等辅助检查方法诊断脐尿管异常疾病 9例 ,并进行相应手术治疗。结果 :手术及病理检查证实脐尿管瘘并感染 3例 ,脐尿管囊肿并感染 3例 ,脐尿管窦道并感染 1例 ,膀胱顶部憩室 1例 ,确诊后自动出院 1例。患者术后排尿正常 ,8～ 18天痊愈出院 ,随访至今无复发及癌变。结论 :脐孔或膀胱美蓝注射试验、膀胱镜检查 瘘管造影、B超、CT等辅助检查为有效的诊断措施 ;
Purpose:To probe into the diagnosis and treatment of congenital urachal anomalies. Methods:9 patients with urachal anomalies were diagnosized preoperatively by clinical history, mythylene blue injection test of umbilical fistula or bladder, cystoscope examination, fistucography?B type ultrasonic examination?computerized tomography scan and so on. All patients accepted surgical therapy. Results:Operation and pathology proved urachal fistula associated with infection 3 cases, urachal cyst associated with infection 3 cases, sinus of urachus associated with infection 1 case and diverticulum in vertex bladder 1 case (1 case left hospital on his own). The 8 patients being operated on had normal voiding function postoperatively.Time of hospitalization of the patients was from 8 to 18 days.Follow up survey showed that there were no recurrence and no malignancy.Conclusions:Mythylene blue injection test of umbilical fistula or bladder, cystoscope examination, fistucography, B type Ultrasonic examination, computerized tomography scan are effective methods for diagnosis.The operative range is to attach the purpose of the removal of all the urachus and the abnormal tissues associated with it.
出处
《临床泌尿外科杂志》
2001年第12期521-523,共3页
Journal of Clinical Urology
