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目的提高脐尿管肿瘤的诊治水平,探讨腹腔镜下手术切除脐尿管肿瘤的安全性和可行性。方法回顾性分析1例腹腔镜下脐尿管恶性间叶组织来源的黏液性肿瘤并腹腔内出血手术及术后随访1年患者的病例资料。结合文献总结脐尿管肿瘤的临床特点、诊疗手段、治疗原则。结果本例患者手术顺利,术后1d即下床活动,2d恢复肛门排气,第4天拔除盆腔引流管,术后9d出院。未出现任何并发症。随访10个月无复发。结论膀胱镜检查、彩超、CT、MRI检查是诊断脐尿管肿瘤的必要检查,临床以脐尿管癌报道多见,罕见来源于间叶组织的脐尿管肿瘤的报道,确诊有赖于术后病理检查。腹腔镜手术切除脐尿管肿瘤安全可行、切口美观,符合患者美容方面的需求,值得临床推广应用。
Objective To improve the diagnosis and treatment of urachal tumors and investigate the safety and feasibility of laparoscopic resection of urachal tumors. Methods The clinical data of one case of myeloma derived from laparoscopic malignant mesenchymal tissue of the urachalcus and intraperitoneal hemorrhage and one year follow-up were retrospectively analyzed. Combined with the literature summarizes the clinical features of urachal tumor, diagnosis and treatment methods, principles of treatment. Results The operation of this patient was successful. The patient got out of bed 1 d after operation and recovered the anal exhaust on the 2nd day. The pelvic drainage tube was removed on the 4th day and was discharged on the 9th day after operation. No complications occurred. No follow-up of 10 months follow-up. Conclusion cystoscopy, color Doppler ultrasonography, CT, MRI examination is the necessary examination of the diagnosis of urachal tumors, clinical reports of urethral cancer more common, rare from mesenchymal tissue of the urachal tumor reports, the diagnosis depends on postoperative Pathological examination. Laparoscopic resection of the urachus tumor is safe and feasible, the incision is beautiful, and meets the needs of the patient’s beauty. It is worthy of clinical promotion and application.