[儿童期脐尿管囊肿]
[Urachal cysts during childhood].
作者信息
Gómez Díaz M Estrella, Tornero Ruiz Jesús Ignacio, Caffaratti Sfulcini Jorge, Garat Barredo José M
机构信息
Unidad de Urología Pediátrica Fundación Puigvert C/Cartagena 340-350 08025 Barcelona España.
出版信息
Arch Esp Urol. 2003 Apr;56(3):300-2.
OBJECTIVE
To assess diagnosis and treatment of uracal cysts.
METHODS
We reviewed the medical records and radiological studies of four patients who were treated for a urachal anomaly: two urachal cysts and two urachal abscesses. Diagnostic evaluation included, ultrasound, computerized tomography and magnetic resonance.
RESULTS
Treatment of urachal abscesses involved drainage and secondary excision. The urachal cyst does not require surgical intervention.
CONCLUSIONS
Ultrasound is an excellent diagnostic tool for patients with urachal cysts. Infected cysts may present with pain, tenderness and erythema in the infraumbilical region. Extraperitoneal excision is the treatment of choice, although large infected cysts may require an initial drainage procedure.
目的
评估脐尿管囊肿的诊断与治疗。
方法
我们回顾了4例因脐尿管异常接受治疗的患者的病历及影像学研究，其中包括2例脐尿管囊肿和2例脐尿管脓肿。诊断评估包括超声、计算机断层扫描和磁共振成像。
结果
脐尿管脓肿的治疗包括引流和二期切除。脐尿管囊肿无需手术干预。
结论
超声是诊断脐尿管囊肿患者的极佳工具。感染的囊肿可能在脐下区域出现疼痛、压痛和红斑。尽管较大的感染囊肿可能需要先行引流手术，但腹膜外切除是首选的治疗方法。
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