摘要
先天性耻骨前窦道是一种罕见的先天性畸形,其病因及胚胎学理论尚不明确。可能的病因包括腹壁闭合异常、变异的尿道背侧重复、尿生殖窦的先天性瘘管、泄殖腔的持续残留、泄殖腔膜残留和脐阴沟。先天性耻骨前窦道患者临床症状通常不明显,主要表现为窦道开口处透明黏液样分泌物渗出。超声、窦道造影及MRI检查有助于明确诊断及术前评估。手术切除有效,早期干预很有必要,可以避免反复发作感染等并发症。
As an extremely rare congenital malformation,congenital prepubic sinus has elusive etiological and embryological origins.Its potential causes include abnormal abdominal wall closure,variant of dorsal urethral duplication,congenital fistula of primitive urogenital sinus,persistent cloacal residue,residual cloacal membrane and umbilicophallic groove.The clinical symptoms are frequently not overt.And a major manifestation is an exudation of transparent mucus-like secretion at sinus opening.Ultrasound,fistulography and magnetic resonance imaging(MRI)may confirm a diagnosis and contribute to preoperative evaluations.Surgical resection is effective and early intervention necessary for preventing recurrent infections and other complications.
作者
袁强(综述)
闫学强(审校)
Yuan Qiang;Yan Xueqiang(Department of Pediatric Surgery,Wuhan Children's Hospital(Wuhan Maternal and Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science&Technology,Wuhan,Hubei 430015,China)
出处
《临床小儿外科杂志》
CAS
CSCD
2021年第5期478-481,共4页
Journal of Clinical Pediatric Surgery
