脐尿管

Data were analyzed according to the age, gender, type of each urachal remnant, presentations of the disease, evaluation methods, bacteriology, treatment and outcomes.

我们依据病患的年龄、性别、脐尿管残迹的类型、疾病的表现、诊断方法、微生物培养、治疗方法及预后作分析并讨论。

Urachal anomalies are more common in males.

脐尿管残迹较好发在男性。

MATERIALS AND METHODS: Medical records of 30 patients with urachal anomalies treated at our hospital from September 1992 to December 2001 were retrospectively reviewed.

材料与方法：我们回顾自1992年9月至2001年12月，本院30位脐尿管残迹病患的临床病历。

The urachal remnants were proved by pathology, but epithelial metaplasia was noted in two cases.

在病理上均证实为脐尿管之残留物，但有2例合并有上皮细胞不同程度之变性。

Pathologic stage is an important prognostic factor in urachal carcinoma.

对于脐尿管癌，病理分期是影响预后的一个非常重要的因素。

Extensive partial excision of the bladder is the treatment of choice for urachal carcinoma.Comprehesive therapy should be applied to those patients with metastatic or tumor recurrence.

扩大性膀胱部分切除术可作为脐尿管腺癌的主要手术方式，对复发、转移病例应积极采取综合治疗。

OBJECTIVE: Persistence of all or a portion of the embryonic tract between the urinary bladder and the umbilicus results in a variety of urachal anomalies.

研究目的：脐尿管是胚胎时期连接膀胱和肚脐之间的通道，若是出生后此通道没有完全关闭，将因此胚胎时期的残迹衍伸出许多临床症状。

Based on our experience, among variants of urachal anomalies, a patent urachus was the most common anatomic presentation seen at birth and in early infancy but was a less-common presentation in adults.

根据本院的经验，在脐尿管残迹的类型中，以patent urachus最常见，并且常发生在新生儿，较少见於成人。

Results Urachal carcinoma comprised 1.7%of the bladder cancers and 38.7%of the bladder adenocarcinomas uncountered in our hospitol.

结果 脐尿管腺癌占同期收治膀胱癌688例的1.7%，膀胱腺癌的38.7%。

Extensive partial cystectomy should be an effective treatment for the urachal adenocarcinoma .Radical total cystectomy was the main choice of treatment for the primary adenocarcinoma of bladder.

扩大性膀胱部分切除术是脐尿管腺癌的主要手术方式，原发性膀胱腺癌多行根治性全膀胱切除术，总体疗效仍需进一步提高。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。