Cuda Scott P, Vanasupa Bill P, Sutherland Ronald S
Department of Urology, Tripler Army Medical Center, Honolulu, Hawaii 96859-5000, USA.
Urology. 2005 Dec;66(6):1320. doi: 10.1016/j.urology.2005.06.121.
Patent urachus accounts for 10% to 15% of all reported urachal abnormalities in the literature. Treatment in the past has relied on immediate surgery. Conservative therapy with bladder catheter drainage, resulting in spontaneous closure, has not been described. We report a case of patent urachus in a 6-day-old infant who presented with urine drainage from the umbilicus. Radiographic studies confirmed a patent urachus. One week of urethral catheterization resulted in spontaneous closure of the patent urachus. This case suggests that initial treatment should consist of urethral catheterization for 1 to 2 weeks, followed by repeat voiding cystourethrogram. If the patent urachus still persists, one should proceed to surgical correction.
脐尿管未闭占文献报道的所有脐尿管异常的10%至15%。过去的治疗依赖于立即手术。尚未有关于采用膀胱导管引流进行保守治疗并导致自发闭合的描述。我们报告一例6日龄婴儿脐尿管未闭病例，该婴儿表现为脐部有尿液流出。影像学检查证实为脐尿管未闭。一周的尿道插管导致脐尿管未闭自发闭合。该病例提示初始治疗应包括1至2周的尿道插管，随后重复进行排尿性膀胱尿道造影。如果脐尿管未闭仍然存在，则应进行手术矫正。
