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目的探讨先天性脐尿管瘘的诊断及治疗方法。方法回顾性分析32例先天性脐尿管瘘的临床资料。结果所有病例均经手术及术后病理确诊为脐尿管瘘并感染,患者术后排尿正常,7～10d出院,无切口感染,随访至截稿时未见复发或癌变病例。结论 B超、CT、经脐孔或膀胱美蓝灌注试验及瘘管造影等检查是脐尿管瘘的有效诊断手段;手术完整切除脐尿管是治疗的有效方法。
Objective To investigate the diagnosis and treatment of congenital urachus fistula. Methods Retrospective analysis of 32 cases of congenital urachus fistula clinical data. Results All patients were diagnosed as having urethral fistula by operation and postoperative pathology. Urine was normal after operation, and discharged from 7 to 10 days without incision infection. No recurrence or canceration was observed during the follow-up period. Conclusion Ultrasound, CT, percutaneous umbilicus or bladder meridium perfusion test and fistula imaging are effective diagnostic methods for urachus fistula. Complete surgical removal of the urachus is an effective treatment.