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目的:分析耻骨前窦道的临床表现、诊断、病理、病因学以及治疗方法。方法:报告1例耻骨前窦道的临床表现、手术、病理并结合文献报道的40余例耻骨前窦道的相关资料进行分析。结果:耻骨前窦道表现为于耻骨联合上方开口的窦道,可在阴茎/阴蒂根部的上方开口并延伸至膀胱或脐尿管的前壁但并不与之交通。在绝大部分患者,惟一的症状是窦道排出近透明粘液状分泌物,可伴或不伴有炎症反应。窦道造影有助明确诊断及手术治疗,病理提示为内衬移形上皮、或者鳞状上皮或者两者兼有的管状结构;其发病原因尚存争议,比较统一的认识是行窦道切除术。结论:耻骨前窦道病因尚不明确,手术治疗行窦道切除是适宜的治疗方法。
Objective: To analyze the clinical manifestations, diagnosis, pathology, etiology and treatment of pubic anterior sinus tract. Methods: The clinical manifestations, operation and pathology of anterior pubicus in 1 case were reported and the related data of more than 40 cases of pubic anterior sinus were reported. Results: The pubic anterior sinus presents as a sinus opening above the pubic symphysis that opens above the base of the penis / clitoris and extends to the front wall of the bladder or umbilical but does not communicate with it. In the vast majority of patients, the only symptom is the discharge of the osseous mucous secretions, with or without inflammation. Sinus angiography can help confirm the diagnosis and surgical treatment, the pathology prompted the lining of the transitional epithelium, or squamous epithelium or both of the tubular structure; its causes remain controversial, a more common understanding is undergoing sinus resection . Conclusion: The cause of the pubic anterior sinus is not clear, surgical treatment of sinus resection is an appropriate treatment.