先天性脐肠瘘的诊断和手术方法的探讨

Exploration of the diagnosis and surgical method of congenital omphalomesenteric fistula.

目的探讨脐肠瘘的诊断与治疗方法。方法根据病史并结合B超协助诊断。采取脐下小横切口瘘管切除保留脐的手术方法。结果经B超诊断并手术治疗8例,术中所见与B超诊断相符,术后脐部外观基本正常,随访8月-5年无脐疝发生。结论B超为诊断脐肠瘘简单、可靠、无创的影像学检查,脐下小横切口瘘管切除保留脐为治疗脐肠瘘的最佳手术方法。

Objective：To explore the diagnosis and treatment of congenital omphalomesenteric fistula.Methods：8 patients with omphalomesenteric fistula were diagnosed preoperatively by clinical history and ultrasonography,and all cases have been treated by fistula resection with the umbilicus retain through minimal transverse incision under umbilicus.Results：8 cases were diagnosed by ultrasonography and underwent operative treatment,what we had seen in the operation were the same as the diagnosis of ultrasonography.The umbilicus keep normal postoperation 8 cases were followed-up for 8 months-5 years,without umbilicus hernia happen.Conclusion：Ultrasonography is a simple,reliable and minimal invasion method for the diagnosis of omphalomesenteric fistula,and fistula resection with the umbilicus retain through minimal transverse incision under umbilicus is the bese operative treatment for omphalomesenteric fistula.