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例1,男性、3岁.入院前半年洗澡时发现患儿下腹部正中有一条索状包块,软,无症状,未引起重视.一周前、患儿尿频,下腹包块变硬,继之局部皮肤红肿,发烧到院就诊.B超所见:脐下腹壁内一大小约31×23mm的无回声区,边界欠清晰,壁厚而不光滑,其内少许点状强回声漂浮.未见与脐及膀胱相通的管道.因患儿憋尿后包块疼痛明显,仅在膀眈充盈欠佳的条件下作憋尿前后的对比检查、B超提示:脐尿管囊肿并感染可能性大.住院后经腹壁穿刺抽脓及手术治疗.术后病理结果:脐尿管囊肿.例二,男性,4岁.患儿2年前下腹壁局限性红、肿、痛,在该处触及一纵行条索状包块.临床经腹壁抽脓后诊断“腹壁内脓肿”.抗炎治疗后痊愈.1年前上述症状再次发作来院.B超提示:脐尿管囊肿.又经保守治疗痊愈.随之屡发屡愈.本次来
Example 1, male, 3 years old .Has a bath in the first half of admission, there was a cord-shaped mass in the middle of the lower abdomen, which was soft and asymptomatic and did not attract attention .A week ago, Local skin irritation, fever to the hospital for treatment .B super seen: a sub-abdominal wall of a size of about 31 × 23mm anechoic area, the border is not clear, the wall thickness and not smooth, a little bit echo-like floating inside. With the umbilical and bladder connected to the pipeline.Because of children with back pain after the pain was obvious, only under the conditions of poor filling in the bladder for holding urine before and after the contrast test, B-Tip: Urachus cyst and the possibility of infection is large .Postoperative abdominal puncture pus and surgical treatment .Postoperative pathology results: urachal cyst .In two cases, male, 4 years old .In two years ago, children with limited abdominal red, swollen, pain, touched a Longitudinal cord-like mass clinical abscess after the clinical diagnosis of “abdominal abscess.” Anti-inflammatory treatment after recovery. A year ago the above symptoms again attack the hospital. B-ultrasound tips: Urachal cyst. And after conservative treatment healed Followed by repeated episodes more