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脐尿管的病理解剖学基础。

Anatomic basis of pathology of the urachus.

作者信息

Scheye T, Vanneuville G, Amara B, Francannet P, Dechelotte P, Campagne D

机构信息

Service de Chirurgie Infantile, Hôtel-Dieu, Clermont-Ferrand, France.

出版信息

Surg Radiol Anat. 1994;16(2):135-41. doi: 10.1007/BF01627586.

DOI:10.1007/BF01627586
PMID:7940076
Abstract

The urachus, derived partly from the allantoic canal, tethers the apex of the bladder to the umbilical ring. This vestigial structure, though constant in man, is formed by a whole series of embryologic mechanisms which are still controversial. Total or partial persistence of the lumen of the urachal canal, when sufficiently extensive, becomes manifested by characteristic clinical features. Moreover, it is frequently associated with malformational urogenital involvement, which must be routinely sought. The sole form of treatment consists of total surgical excision of the urachus.

摘要

脐尿管部分源自尿囊管,将膀胱顶部与脐环相连。这个退化结构在人类中虽恒定存在,但其形成涉及一系列胚胎学机制,目前仍存在争议。脐尿管腔完全或部分持续存在,当范围足够广泛时,会表现出特征性临床症状。此外,它常与泌尿生殖系统畸形相关,必须常规排查。唯一的治疗方式是对脐尿管进行完全手术切除。

相似文献

1
Anatomic basis of pathology of the urachus.脐尿管的病理解剖学基础。
Surg Radiol Anat. 1994;16(2):135-41. doi: 10.1007/BF01627586.
2
Prenatal management of an allantoic cyst with patent urachus.脐尿管未闭合并尿囊囊肿的产前管理
Arch Gynecol Obstet. 2009 Aug;280(2):321-3. doi: 10.1007/s00404-008-0909-8. Epub 2009 Jan 6.
3
Prenatal and Postnatal Clinical Course of an Urachus Identified as an Allantoic Cyst in the Umbilical Cord.产前及产后经诊断为脐带尿囊囊肿的脐尿管临床病程
Eur J Pediatr Surg. 2016 Apr;26(2):200-2. doi: 10.1055/s-0035-1549263. Epub 2016 Mar 16.
4
Ultrasound findings of urachal anomalies. A series of interesting cases.脐尿管异常的超声表现。一系列有趣的病例。
Med Ultrason. 2019 Aug 31;21(3):294-298. doi: 10.11152/mu-1878.
5
Imaging of the Urachus: Anomalies, Complications, and Mimics.脐尿管的影像学检查:异常、并发症及类似疾病
Radiographics. 2016 Nov-Dec;36(7):2049-2063. doi: 10.1148/rg.2016160062.
6
Prenatally diagnosed ruptured vesico-allantoic cyst presenting as patent urachus at birth.产前诊断为膀胱尿囊囊肿破裂,出生时表现为脐尿管未闭。
J Urol. 2003 Apr;169(4):1478-9. doi: 10.1097/01.ju.0000053927.08111.2d.
7
A study of the anatomic features of the duct of the urachus.脐尿管管道解剖学特征的研究。
Surg Radiol Anat. 2001;23(4):229-35. doi: 10.1007/s00276-001-0229-1.
8
[Sonography of urachal anomalies in childhood].[儿童脐尿管异常的超声检查]
Rofo. 1991 Jan;154(1):76-80.
9
Persistent patent urachus with allantoic cyst: a case report.伴有尿囊囊肿的持续性脐尿管未闭:一例报告
Ultrasound Obstet Gynecol. 1997 Nov;10(5):366-8. doi: 10.1046/j.1469-0705.1997.10050366.x.
10
The ultrasonic diagnosis of urachal anomalies.脐尿管异常的超声诊断
Australas Radiol. 1996 Feb;40(1):2-5. doi: 10.1111/j.1440-1673.1996.tb00334.x.

引用本文的文献

1
Urachal Adenocarcinoma: a Case Report and Review of the Literature.脐尿管腺癌:一例报告及文献复习
Indian J Surg Oncol. 2023 Sep;14(3):677-681. doi: 10.1007/s13193-023-01736-6. Epub 2023 Mar 27.
2
Laparoscopic management of complicated urachal remnants.腹腔镜治疗复杂脐尿管残余病变
Chonnam Med J. 2013 Apr;49(1):43-7. doi: 10.4068/cmj.2013.49.1.43. Epub 2013 Apr 25.
3
Laparoscopic management of complicated urachal remnant in a child.儿童复杂性脐尿管残余的腹腔镜治疗

本文引用的文献

1
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2
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4
Familial segregation of cervical ribs, Sprengel anomaly, preaxial polydactyly, anal atresia, and urethral obstruction: a new syndrome?颈椎肋、先天性高肩胛症、轴前多指畸形、肛门闭锁和尿道梗阻的家族性分离:一种新综合征?
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Infected urachal remnants in the adult: case report and review.成人感染性脐尿管残余:病例报告与文献复习
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Suprapubic dermoid sinus.耻骨上皮样窦。
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Retraction of the umbilicus during voiding as an initial sign of a urachal anomaly.排尿时脐部回缩作为脐尿管异常的初始体征。
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[Mucinous adenocarcinoma of the urachus. Apropos of a case].[脐尿管黏液腺癌。附1例报告]
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Laparoscopic excision of urachal sinus.腹腔镜下脐尿管窦切除术。
Eur J Surg. 1993 Feb;159(2):127-8.
10
[Cystadenocarcinoma complicating urachal cysts. A case report and review of the literature (author's transl)].脐尿管囊肿并发囊腺癌。病例报告及文献复习(作者译)
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