腹腔镜下脐尿管瘘切除术。
Laparoscopic resection of urachal fistula.
作者信息
Baier Reinhold, Rumstadt Bernhard
机构信息
Surgical Department, Fürst Stirum Klinik Bruchsal, Gutleutstrasse, Bruchsal, Germany.
出版信息
Surg Laparosc Endosc Percutan Tech. 2011 Aug;21(4):295-6. doi: 10.1097/SLE.0b013e318225b5df.
PURPOSE
Persisting urachal fistula is a rare condition in adults.
METHODS
Data and outcome in 29 patients who were surgically treated for persisting urachal fistula using laparoscopic technique between January 1, 2006 and December 31, 2009 were retrospectively analyzed.
RESULTS
Persisting urachal fistula could be diagnosed in all patients by clinical examination and ultrasound. Laparoscopic resection was possible in all patients. In 2 individuals (6.8%) the fistula recurred, but could be surgically treated using laparoscopic technique. In 1 patient (3.4%) wound healing complications were observed.
CONCLUSIONS
Clinical examination and ultrasound are generally sufficient for diagnosing persisting urachal fistula. Laparoscopic urachal fistula resection is a safe and effective technique and should thus be taken as a standard procedure.
目的
成人持续性脐尿管瘘是一种罕见疾病。
方法
回顾性分析2006年1月1日至2009年12月31日期间采用腹腔镜技术手术治疗的29例持续性脐尿管瘘患者的数据及治疗结果。
结果
所有患者均通过临床检查和超声确诊为持续性脐尿管瘘。所有患者均可行腹腔镜切除术。2例患者（6.8%）出现瘘管复发，但可采用腹腔镜技术进行手术治疗。1例患者（3.4%）出现伤口愈合并发症。
结论
临床检查和超声一般足以诊断持续性脐尿管瘘。腹腔镜下脐尿管瘘切除术是一种安全有效的技术，应作为标准手术方法。
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