小儿脐尿管囊肿23例诊治分析

The diagnosis and treatment of prediatric urachal cyst with 23 cases

目的:探讨小儿脐尿管囊肿的诊断及治疗方法。方法:根据病史及临床表现、B超、脐孔及膀胱碘水造影等检查,诊断23例脐尿管囊肿,并进行手术治疗,术中保留脐部。结果:手术及病理检查证实23例脐尿管囊肿诊断。2例合并脐尿管瘘,其中1例同时合并膀胱憩室。患者术后恢复良好,脐部正常,无复发。结论:B超、脐孔及膀胱碘水造影检查对脐尿管囊肿的诊断及手术治疗具有重要意义,手术中需注意可能合并脐尿管瘘及膀胱憩室;手术关键是彻底切除脐尿管及病变组织。

Objective：To discuss the diagnosis and treatment of pediatric urachal cyst.Methods： 23 cases with urachal cyst were diagnosed according to the clinical history and manifestations,B-type ultrasonic examination,iodine contrast radiography of the umbilical fistula and bladder.All patients underwent the operation and umbilical were retained.Results： 23 cases of urachal cyst were confirmed by operation and pathology.2 cases complicated with urachal fistula;1 case complicated with urachal fistula and bladder diverticulum.23 patients postoperative recovery was good and had normal umbilical and voiding function.Conclusion： Ttype-B ultrasonic examination,iodine contrast radiography of the umbilical fistula and bladder are very important for diagnosis and treatment of Urachal cyst.The complications such as urachal fistula and bladder diverticulum must be paid attentionton to in the operation.Removing all the urachus and the abnormal tissues as completely as possible is important in the operation.