脐尿管憩室合并哑铃状膀胱结石的诊治分析  

Diagnostic and therapeutic analysis of vesicourachal diverticulum with dumbbell-shaped stones

作　　者：程波[1] 姜睿[1] 程勇[1] 杨海帆[1] 裴利军[1] 何启丹[1] 

机构地区：[1]泸州医学院附属医院泌尿外科,四川泸州646000

出　　处：《泸州医学院学报》2013年第4期379-381,共3页Journal of Luzhou Medical College

摘　　要：目的:总结脐尿管憩室合并哑铃状膀胱结石的诊治经验。方法:报告3例脐尿管憩室合并哑铃状膀胱结石病例资料,3例均为男性,年龄9～56岁,其中2例术前诊断为膀胱肿瘤,1例术前诊断为膀胱缝线结石,均经手术明确诊断并接受膀胱切开取石和憩室切除术治疗。结果:3例均为脐尿管憩室合并哑铃状膀胱结石。术后随访3～6月无尿漏、尿外渗及下尿路症状。结论:提高对本病的认识是避免误漏诊的关键,脐尿管憩室合并哑铃状膀胱结石主要通过影像学检查及膀胱镜检明确诊断。膀胱切开取石和憩室切除术是治疗脐尿管憩室合并哑铃状膀胱结石的主要方法。Objective： To summarize the experience of diagnosis and treatment of vesicourachal diverticulum with dumbbell -shaped stones.Methods： Report of 3 cases：all were male,9 to 56 years old. All were misdiagnosed： 2 as bladder tumor and another as bladder suture stone. All underwent bladder lithotomy and diverticulum resection. Relevant literatures about vesicourachal diverticulum with dumbbell-shaped stones were reviewed. Results： All the 3 cases of vesicourachal diverticulum with dumbbell-shaped stones were confirmed during operation. No urinary leakage,urinary extravasation or lower urinary tract symptoms was found in these cases followed-up 3 to 6 months postoperatively.Conclusion： Better understanding of the disease is the key to avoid misdiagnosis. The diagnosis is mainly based on the results of radiological examination and cystoscopy. Removal of stones and diverticulum is the main treatment for this disease.

关 键 词：脐尿管憩室 膀胱结石 

分 类 号：R694.4[医药卫生—泌尿科学]