超声在儿童先天性脐尿管畸形诊断中的应用价值  

Ultrasound diagnosis of congenital urachal abnormalities

作　　者：胡艳秀[1] 贾立群[1] 王晓曼[1] 

机构地区：[1]首都医科大学附属北京儿童医院影像中心腹部超声室,北京100045

出　　处：《中华医学超声杂志（电子版）》2011年第5期1075-1081,共7页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨超声在诊断儿童不同类型脐尿管畸形中的应用价值。方法回顾性分析我院2005～2009年收治的59例经手术病理证实的脐尿管畸形患儿的超声声像图表现,总结其超声图像特点。结果 59例脐尿管畸形均位于腹中线处Retzius间隙内的脐尿管走行区。超声表现:(1)厚壁囊腔31例,囊液浑浊,周围筋膜不同程度肿胀,其中单一囊腔18例,有分隔及絮状物12例,囊腔巨大并有积气1例;与膀胱相通3例,与脐部相通1例。(2)管道状22例,其中与脐部及膀胱均相通13例,仅与脐部相通9例。(3)条状低回声无管腔结构6例。病理证实脐尿管囊肿31例,脐尿管窦8例,脐尿管瘘18例,脐尿管残留感染2例。结论超声能够观察脐尿管囊肿、瘘道及窦道的细微结构,对各种脐尿管畸形的诊断符合率较高,是脐尿管畸形疾病诊断的首选检查方法。Objective To analyze the value of ultrasonography in the diagnosis for different types of urachal abnormalities in children.Methods A retrospective study in59 children with urachus diseases verified by operation and pathology was performed and the features were summarized by ultrasonography.Results The urachal abnormalities in the study were verified in the urachus area of the Retzius space in midventral line.Ultrasonography manifestations included:(1)Cyst with thick wall and turbid fluid were found in 31 p...

关 键 词：超声检查 脐尿管畸形 儿童 

分 类 号：R445.1[医药卫生—影像医学与核医学]