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目的探讨15例脐尿管病变的X线、CT征象,提高对该病的认识。方法对15例经手术和病理证实,且有X线、CT检查的脐尿管病变资料进行回顾性分析。结果脐尿管瘘并感染4例,脐尿管囊肿5例,其中1例合并感染,脐尿管恶性肿瘤6例。脐尿管囊肿和恶性肿瘤表现为近下腹部中线的病灶,恶性肿瘤呈囊实性,为周边强化或结节状强化。结论X线和CT检查能显示脐尿管病变的部位、形态、密度及邻近组织的关系,提高对其影像学特点的认识,有利于该病变的正确诊断并指导临床治疗。
Objective To investigate the X-ray and CT findings of 15 cases of urachal lesions and to improve their understanding of the disease. Methods Fifteen cases of urethral lesions confirmed by surgery and pathology, with X-ray and CT examination were retrospectively analyzed. Results In 4 cases of urachus fistula infection and 5 cases of urachal cyst, 1 case was complicated with infection and 6 cases of urachal carcinoma. Urachal cysts and malignant tumors showed near the lower abdomen midline lesions, malignant tumors were cystic solidification, peripheral enhancement or nodular enhancement. Conclusion X-ray and CT examination can show the location, shape, density and the relationship of the adjacent tissue in the urachal pathology, and improve the understanding of its imaging features, which is conducive to the correct diagnosis of the disease and to guide the clinical treatment.