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例一、患儿男性,7岁。生后即发现于排尿时有淡黄色液体从脐孔排出,并有尿臭味。患儿脐孔经常湿润,在膀胱憋胀时或患儿用力致腹压增高时即呈喷射状。入院后因患儿不合作,膀胱造影未成功,故以亚甲兰2ml由导尿管插入膀胱注入,拔出导尿管让患儿用力排尿,即见有美兰从脐孔排出,证明系脐尿管瘘无疑行手术切除脐尿管。术中见脐尿管粗约0.4～0.5cm,管壁较硬,近膀胱端处管腔较大。切除后膀胱壁残端以3个“0”羊肠线全层缝合,丝线加强浆肌层,术后再未出现脐孔漏尿,切口Ⅰ
Example one, male child, 7 years old. After birth that was found in the urination, pale yellow liquid from the umbilicus hole discharge, and urine odor. Umbilical child often wet, swelling in the bladder or when children with abdominal force caused by increased pressure was jet-like. After admission due to uncooperative children, bladder imaging was unsuccessful, so to 2ml of methylene blue by the catheter into the bladder injection, pull out the catheter so that children forced urination, that is, Meilan from the umbilical cord discharge, that Department of Urethral tube fistula undoubtedly surgical removal of the urachus. Intraoperative see umbilical roughly 0.4 ~ 0.5cm, hard wall, near the end of the lumen of the larger lumen. After resection, the stump of the bladder wall was sutured with three “0” sutures in full thickness, and the silk thread enhanced the myometrium. Umbilicus leakage and incision I