[摘要] 目的 探讨脐尿管疾病的诊断及治疗方法。 方法 对根据病史及辅助检查方法诊断为脐尿管疾病12例患者进行相应手术治疗。 结果 手术及病理检查证实脐尿管瘘2例，脐尿管囊肿并感染5例，脐尿管窦道并感染3例，脐尿管黏液腺癌2例。患者术后恢复良好，排尿正常。 结论 经脐孔或膀胱美蓝灌注试验、瘘管造影、B超、CT及膀胱镜等检查对脐尿管疾病的诊断及治疗具有重要意义，手术能尽可能彻底切除脐尿管及病变组织。

    [关键词] 脐尿管；诊断；治疗

    [中图分类号] R635 [文献标识码] B [文章编号] 1673-7210(2012)02(b)-0160-02

    The diagnosis and treatment of urachal anomalies

    LIU Xiangwei

    Department of Urology, the First People′s Hospital of Pingdingshan City, He′nan Province, Pingdingshan 467000, China

    [Abstract] Objective To discuss the diagnosis and treatment of urachal anomalies. Methods 12 patients with urachal anomalies were diagnosed preoperatively by clinical history and accessory examination. All patients received surgical therapy. Results Operation and pathology confirmed that urachal fistula were 2 cases, urachal cyst with infection were 5 cases, urachal sinus with infection were 3 cases and urachal mucinous adenocarcinoma were 2 cases. 12 patients postoperative recovery was good and had normal voiding function. Conclusion Bladder mythylene blue injection test of umbilical fistula, fistulography, ultrasound, computerized tomography scan, cystoscopy are very important for diagnosis and treatment of urachal anomalies. Operation can remove all the urachus and the abnormal tissues as completely as possible. ......