乌拉卡尔残留物:从胚胎学到临床实践
Ioanna Gkalonaki1, Ioannis Patoulias2, Michail Anastasakis2
1First Department of Pediatric Surgery, Aristotle University of Thessaloniki, General Hospital "G. Gennimatas", Thessaloniki, Greece. iongalonaki@gmail.com.
尿道异常,包括 patent urachus和尿道囊,影响超过1%的儿科患者. 早期检测和潜在的外科切除是管理这些先天残留物以预防并发症的关键.
科学领域:
- 胚胎学和儿科外科
- 遗传异常是一种先天性异常.
- 泌尿器科发展 泌尿器科发展
背景情况:
- 尿是胎儿结构连接膀和艾伦托斯,通常回归到中间带.
- 在1.03%的儿科患者中,口腔残留物发生,通常是偶然发现.
- 常见的 urachal 异常包括专利 urachus, urachal 鼻, urachal 囊,和 urachal 转.
研究的目的:
- 审查 urachal 异常的分类,诊断和管理.
- 强调对症状或持久的 urachal 遗留物及时干预的重要性.
- 讨论手术切除在处理 urachal 遗留物时的指示.
主要方法:
- 审查关于 urachal 异常现有的文献.
- 基于解剖学表现的 urachal 异常的分类.
- 讨论诊断成像方法,主要是超声波.
- 对管理策略的分析,包括观察和外科干预.
主要成果:
- 口腔异常被分为四种主要类型,患病率各不相同.
- 超声波是识别urachal残留的主要诊断工具.
- 无症状的新生儿病例可能在6个月内自发消失.
- 症状或持久的残留物带有炎症和恶性瘤的风险.
结论:
- 口腔异常需要仔细评估和管理.
- 对于持久或有症状的 urachal 遗留物,建议进行预防性外科切除.
- 手术选择包括开放式,腹腔镜和机器人辅助腹腔镜方法.
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