腹腔镜手术治疗脐尿管囊肿合并感染的临床疗效分析（附11例报告）

Clinical analysis of laparoscopic operation for urachal cyst with infection (11 cases)

摘要:

目的 探讨腹腔镜手术治疗脐尿管囊肿合并感染的可行性和临床疗效。方法 回顾性分析2016年3月－2019年3月安徽医科大学第一附属医院收治的11例脐尿管囊肿合并感染患者的临床资料。其中，男7例，女4例，平均年龄28岁，术前均给予3～7 d抗生素治疗，手术切除范围包括脐尿管、脐尿管肿物、脐正中韧带和部分膀胱。结果 11例患者均成功完成手术，无中转开放手术，平均手术时间136 min，平均住院时间12 d，平均留置导尿管时间6 d，术后无复发、切口感染和切口疝等严重并发症，术后随访1～5年，无复发及恶变。结论 腹腔镜手术治疗脐尿管囊肿合并感染是一种微创、安全、有效的方法。

Abstract:

Objective To explore the feasibility and clinical effect of laparoscopic operation in the treatment of urachal cyst with infection.Methods Clinical data of 11 cases of urachal cyst with infection from March 2016 to March 2019 were analyzed retrospectively, seven male and four female patients, average age 28 years old, antibiotics were given preoperatively for 3 to 7 d. The scope of operation included urachal, urachal mass, median umbilical ligament and part of bladder.Results All the 11 cases were successfully operated without conversion to open surgery. The average operation time was 136 min, the average hospital stay was 12 d, the average indwelling catheter was 6 d. No serious complications such as recur, incision infection, incisional hernia occurred after operation. The patients were followed up for 1 ~ 5 years without recurrence or malignant change.Conclusion Laparoscopic operation for urachal cyst with infection is a minimally invasive, safe and effective method.