Iuchtman M, Rahav S, Zer M, Mogilner J, Siplovich L
Pediatric Surgery Unit, Hillel Yaffe Medical Center, Hadera, Israel.
Urology. 1993 Oct;42(4):426-30. doi: 10.1016/0090-4295(93)90375-k.
During a period of fifteen years, 9 children and 5 adults with a variety of urachal anomalies were treated. Infected urachal cysts were more common in children whereas adults more frequently had infected urachal sinuses. After careful physical examination, a preoperative diagnosis could be made in most patients, with ultrasound examination decisive in doubtful cases. Whenever feasible, complete excision of the umbilicovesical tract is performed, but in very ill patients, a staged treatment becomes necessary. The preoperative injection of methylene blue is helpful in the identification of communicating tracts, all of which should be removed. All affected children should undergo investigation for associated genitourinary anomalies.
在15年的时间里，对9名儿童和5名患有各种脐尿管异常的成人进行了治疗。感染性脐尿管囊肿在儿童中更为常见，而成人则更常出现感染性脐尿管窦。经过仔细的体格检查，大多数患者能够做出术前诊断，在可疑病例中超声检查起决定性作用。只要可行，就应完整切除脐膀胱通道，但对于病情非常严重的患者，分阶段治疗是必要的。术前注射亚甲蓝有助于识别连通通道，所有连通通道均应切除。所有受影响的儿童都应接受相关泌尿生殖系统异常的检查。
