查詢結果分析
相關文獻
- Urachal Anomalies in Children: Experience at One Institution
- Preoperative Ultrasonographic Diagnosis of an Infected Urachal Cyst Mimicking an Intravesical Mass: Report of a Case
- The Effect of Changes in the Internal Structure of a Schooling Fish on the Estimation Efficiency by Acoustic Methods
- The Use of Stationary Hydroacoustic Transducer to Study Diel and Seasonal Influences on the Distribution of Fish School in Water Adjacent to the Cooling Water Intake of Nuclear Power Plant III
- Transcatheter Closure of Atrial Septal Defect Guided by On-Line Transesophageal Echocardiography
- Pelvic Abscess after Ultrasound-Guided Aspiration of Endometrioma: A Case Report
- Color Doppler Ultrasound Velocimetry of Internal Carotid Arteries in Normal Pregnancies
- Intraluminal Mucin Pool in Mucinous Gastric Adenocarcinoma: A Case Report
- Morbidity with Contemporary Transrectal Biopsy of the Prostate
- 超音波結石刮及改良式超音波結石刮在牙周病治療上的應用
頁籤選單縮合
題名 | Urachal Anomalies in Children: Experience at One Institution=在兒童發生的臍尿管異常--一個機構的經驗 |
---|---|
作者 | 黃振盛; 駱至誠; 趙舜卿; 陳弘明; 朱世明; Huang, Chen-sheng; Luo, Chih-cheng; Chao, Hsun-chin; Chen, Hung-ming; Chu, Shih-ming; |
期刊 | 長庚醫學 |
出版日期 | 20030600 |
卷期 | 26:6 2003.06[民92.06] |
頁次 | 頁412-416 |
分類號 | 417.575 |
語文 | eng |
關鍵詞 | 臍尿管竇; 開放性臍尿; 臍尿管囊腫; □管攝影; 超音波; Urachal sinus; Patent urachus; Urachal cyst; Fistulography; Sonography; |
中文摘要 | 背景:在胚胎學和解剖學上有關臍尿管異常的特色已被很詳細的界定,由於各有許多不同的臨床表現,所以缺乏一致性的診斷及治療模式。我們統計過去本院十年的經驗。期望能找出一致性的診斷及治療模式。 方法:從1992到2002十年間共有20例兒童臍尿管異常案例,12位是男生,8位是女生,年齡從1天到12歲(平均年齡是歲),病人的臨床症狀和影檢查是我們診斷的依據。影像檢查則包括?管攝影術,超音波和膀胱尿道排出攝影法,至於術後的情況也一併分併。 結果:在表現的症狀中,僅有肚臍分泌者有14位(70%),合肚臍分泌及肉芽組織者有2位(10^%),肚臍紅腫者有3位(15%%),腹痛有1位(5%),診斷法包括?管攝影術5例,超音波13例,膀胱尿道排出攝影法有3例。臍尿管異常的三種表現:開放性臍連有4例(20%),臍尿管竇有13例(65%),感染性臍尿管囊腫3例(15%),治療法包括臍尿管及部分膀胱切除有3位新生兒病人,切除並結紮有1人,切除臍尿管及?管者有13例,3例感染性臍尿管囊腫則接受切開引流,其中1位日後又再進行第二次切除手術,術後發生1例傷口感染。 結論:臍尿管異常的病例,如有良好的理學檢查及合宜的影像檢查則可獲得正確的診斷,進而獲得良好的治療。在這20位臍尿管異常的病例中,膀胱尿道排出攝影法並沒發現合併其他泌尿道異常,也許此種檢查並非必要。 |
英文摘要 | Background: The embryological and anatomical features of urachal anomalies have been well defined. Because of the variable clinical presentations, uniform guidelines for evaluation and treatment are lacking. In an attempt to establish an optimal diagnostic and treatment modality, we report our experience with urachal anomalies at a single institution over a 10-year period. Methods: The records of 20 patients with urachal abnormalities were reviewed. These included 12 males and 8 females with ages from 1 day to 12 year (average, 3 years). The evaluation included symptoms and signs, and results of fistulography, sonography, and voiding cystography. Postoperative conditions were also reviewed. Results: The presenting complaint was umbilical discharge in 14 patients, umbilical discharge with marked umbilical granulation tissue in 2, periumbilical erythema in 3, and abdominal pain in 1. Diagnostic evaluation included fistulography in 5 cases, sonography in 13, and voiding cystourethrography in 3. The 3 variants of urachal anomalies included a patent urachus in 4 patients (20%), urachal sinus in 13 (65%), and an infected urachal cyst in 13 (65%), and an infected urachal cyst in 3 (15%). Treatment consisted of primary excision with a cuff of the bladder in 3, excision with ligation in 1, There was 1 postoperative wound infection. Conclusion: Diagnosis and treatment of urachal anomalies can be made with certainty if a good physical examination and proper imaging study are performed. Voiding urethrocystography might not be required in view of the fact that none of the patient studied had an associated urinary tract anomaly. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。