CAJ | 학술논문

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。
목적：총결제뇨관게실합병아령상방광결석적진치경험。방법：보고3례제뇨관게실합병아령상방광결석병례자료，3례균위남성，년령9~56세，기중2례술전진단위방광종류，1례술전진단위방광봉선결석，균경수술명학진단병접수방광절개취석화게실절제술치료。결과：3례균위제뇨관게실합병아령상방광결석。술후수방3~6월무뇨루、뇨외삼급하뇨로증상。결론：제고대본병적인식시피면오루진적관건，제뇨관게실합병아령상방광결석주요통과영상학검사급방광경검명학진단。방광절개취석화게실절제술시치료제뇨관게실합병아령상방광결석적주요방법。
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.