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脐尿管瘘临床少见。我院1986～1991年共收治脐尿管瘘9例,均经手术切除治愈。现报告如下。本组9例,均为男性,年龄5～61岁,平均18.1岁。出生后,脐部有尿样液体漏出,中心有一红色乳头样改变,4例有时溢出脓性分泌物。1例因腹部损伤曾行剖腹探查术,术后切口长期不愈,误诊为切口感染。用15%泛影葡胺行脐端和膀胱端造影7例。脐端造影:3例分别有2.0cm、2.5cm、3.0cm未闭合管道,粗细不一;2例未见瘘管,1例正常,1例脐至膀胱均见瘘道,膀胱端呈草帽状改变。膀胱端造影:4例未
Urethral fistula clinical rare. Our hospital from 1986 to 1991, a total of 9 cases of urachus fistula were received, were cured by surgical excision. The report is as follows. The group of 9 patients, both men, aged 5 to 61 years, mean 18.1 years. After birth, umbilical urine sample liquid leaks, the center has a red nipple-like change, 4 cases sometimes overflow purulent secretions. One case had laparotomy because of abdominal injury, long-term incision after incision, misdiagnosed as wound infection. With 15% meglumine diagonosis umbilical and cystography 7 cases. Umbilical angiography: 3 cases were 2.0cm, 2.5cm, 3.0cm did not close the pipe, thickness varies; 2 cases no fistula, 1 case of normal, 1 case of umbilical to the bladder are fistula, the bladder end showed a straw-like change . Bladder endoscopy: 4 cases did not