着实罕见！年轻女子肚脐眼儿竟然流“尿”
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics.app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="font-size: 15px; letter-spacing: 2px; line-height: 2; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><span style="font-size: 14px; box-sizing: border-box;">老话说，肚脐不能抠会得病</span></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;">睡觉不管多热得盖上会着凉</p><p style="margin: 0px; padding: 0px; box-sizing: border-box;">......</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 50%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FoZIfGH8QmOi-bJllcJ_OIsnblfW" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; color: #f96e57; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">但是肚脐一言不合就“流水”</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">你知道怎么回事吗？</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">这其实是尿液另辟蹊径</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">从肚脐流出来了</strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: right; justify-content: flex-end; display: flex; flex-flow: row; margin: 0px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(205, 234, 245, 0.27); height: auto; padding: 26px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">近日，中心医院泌尿外科接诊了一位罕见的脐尿管瘘患者，并成功为其实施了腹腔镜微创手术。</p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #a65bcb; box-sizing: border-box;"><strong style="box-sizing: border-box;">“持续三年了，偶尔有点水流出，还臭臭的，最近流水更加频繁了，夏天衣服薄，有时候还是蛮尴尬的。”</strong><span style="color: #3e3e3e; box-sizing: border-box;">近期，</span></span>32岁的丁女士（化名）因肚脐部位反复流出黄色分泌物并伴有异味而倍感苦恼，于是来到义乌市中心医院泌尿外科就诊。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FkZ_tmQFP79yleTUYzFGKIds4rYT" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">泌尿外科副主任（主持工作）、主任医师骆俊峰详细询问了丁女士的病史，查体发现其脐部有明显红肿、发炎症状，结合CT提示脐部存在管道状混杂密度影，考虑为<span style="color: #f96e57; box-sizing: border-box;"><strong style="box-sizing: border-box;">“脐尿管瘘”</strong><span style="color: #3e3e3e; box-sizing: border-box;">，建议手术治疗。</span></span></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="caret-color: #000000; box-sizing: border-box;">脐尿管瘘在临床上比较少见，有时候会被误诊为脐部炎，但可通过超声及腹部CT确诊。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 50%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/Fh2QOv1EAjq-hWz3o1mQqeAony2o" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #3e3e3e; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">骆俊峰解释，在胎儿时期，脐部有一条管道与膀胱相通，在出生后该管道会自行封闭，但如果出生后该通道持续存在与膀胱相通，则会在脐部形成一个异常通道，导致尿液可能从脐孔排出，形成脐尿管瘘。<strong style="box-sizing: border-box;"><span style="color: #f96e57; box-sizing: border-box;">“脐尿管瘘”为先天性疾患，且脐孔是人体藏污最多的地方，容易引起感染，感染后臭味较重，给患者造成很大困扰。</span></strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/Fv-9nXM-NLvy0iPk_WDqSj87uPb9" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">脐尿管瘘常规治疗是经肚脐切开下腹部各层组织，找到未完全闭合的脐尿管予以切除后缝合切口，但由于脐尿管较长，术后会留下较长的手术疤痕，严重影响美观。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">为了减小丁女士腹部疤痕，义乌市中心医院泌尿外科团队术前组织麻醉科、放射科、营养科等多学科，并邀请浙大一院泌尿外科主任医师祁洪刚共同会诊，<strong style="box-sizing: border-box;"><span style="color: #f96e57; box-sizing: border-box;">最终建议微创手术治疗——腹腔镜下脐尿管切除术</span></strong>。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FhBxerEXxMsr7BNUXVUgp6dP-Q9n" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">经过几日的抗感染治疗，丁女士的手术如期进行。术中，手术团队在腹腔镜下精准切除脐部病变、全部脐尿管及部分膀胱壁，后又重建了脐部，在切除病变组织的前提下，为丁女士保留了正常的肚脐外观。手术顺利完成，仅在腹部切开三个1cm的小切口。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/Fkzahrbm4Tx6vVjggRhN657kiNIi" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #f96e57; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #3e3e3e; box-sizing: border-box;">术后一周，丁女士患处没有出现流脓、红肿，愈合良好，再也不用为突然的“流水”和“怪味”困扰，她如释重负。骆俊峰嘱咐丁女士可以使用腹带，以便助于伤口恢复。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">腹腔镜下脐尿管瘘切除术较传统开腹手术方式具有创伤小、恢复快等优点，并且可以减少下腹部手术后发生切口感染、切口疝的几率。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 3; box-sizing: border-box;"><section style="text-align: right; justify-content: flex-end; display: flex; flex-flow: row; margin: 10px 0px 0px; box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-image: url('https://pics.app.cnyw.net/FkbSKjgZEB786K91K2GqRsJhO4Ir'); background-position: 50% 50%; background-repeat: no-repeat; background-attachment: scroll; min-width: 5%; max-width: 100%; height: auto; padding: 9px 14px; background-size: 100% 100% !important; box-sizing: border-box;"><section style="text-align: justify; color: #000000; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="background-color: #fdfab4; box-sizing: border-box;"> 脐尿管瘘 </span> 有啥特征</strong></p></section></section></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: -20px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 87%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(205, 234, 245, 0.27); height: auto; padding: 0px 26px 26px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">脐尿管瘘主要表现为反复脐部渗液、脐部肿胀、脐部和脐周皮肤急慢性炎症，局部有肉芽组织突出或为腐痂所覆盖。</p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 3; box-sizing: border-box;"><section style="text-align: right; justify-content: flex-end; display: flex; flex-flow: row; margin: 10px 0px 0px; box-sizing: border-box;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-image: url('https://pics.app.cnyw.net/FkbSKjgZEB786K91K2GqRsJhO4Ir'); background-position: 50% 50%; background-repeat: no-repeat; background-attachment: scroll; min-width: 5%; max-width: 100%; height: auto; padding: 9px 14px; background-size: 100% 100% !important; box-sizing: border-box;"><section style="text-align: justify; color: #000000; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="background-color: #fdfab4; box-sizing: border-box;"> 脐尿管瘘 </span> 一定要手术吗</strong></p></section></section></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: -20px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 87%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(205, 234, 245, 0.27); height: auto; padding: 0px 26px 26px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">脐尿管瘘可以利用药物控制感染，但容易反复感染、脓肿，残留的脐尿管任何部分均有可能发生癌变，严重影响患者的生活质量，经手术治疗后，可痊愈。</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">如果先天发育异常造成脐尿管闭合障碍或后天脐尿管部分重新开放，还可能发生各种脐尿管畸形，包括脐尿管囊肿、脐尿管窦、脐尿管憩室、脐尿管未闭等。</p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; font-size: 17px; color: #47c1a8; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">肚脐很脆弱</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">要保护好它哦！</strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: auto; box-sizing: border-box;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; background-image: url('https://pics.app.cnyw.net/FkbSKjgZEB786K91K2GqRsJhO4Ir'); background-position: 50% 50%; background-repeat: no-repeat; background-attachment: scroll; min-width: 5%; max-width: 100%; height: auto; padding: 5px 14px; margin: 0px; background-size: 100% 100% !important; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">泌尿外科</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; background-image: url('https://pics.app.cnyw.net/Fh_QwGYPkgSZoNERmYsbjMD87zJd'); background-position: 50% 50%; background-repeat: no-repeat; background-attachment: scroll; min-width: 5%; max-width: 100%; height: auto; padding: 5px 14px; margin: 0px; background-size: 100% 100% !important; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">专家</strong></p></section></section></section></section></section><section><section style="display: inline-block;"><img class="rich_pages wxw-img" style="height: auto !important;" src="https://pics.app.cnyw.net/Fn2ouEzVDLIUtsBKFzb7ItPbesWu" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FgVaWfeplVA8oPqXTGePR6Y_CkXI" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/FvFiCoFmtrvPmLtoAavA7ykNDbum" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; 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width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics.app.cnyw.net/Fi1DcuBBxgtgnnEW86h_7nh6zgaU" /></section></section><section style="margin: 0.5em 0px; box-sizing: border-box;"><section style="background-color: #a0a0a0; height: 1px; box-sizing: border-box;"></section></section><section style="text-align: right; font-size: 10px; color: #a0a0a0; letter-spacing: 0px; box-sizing: border-box;"></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><p style="display: none;"> </p> <!----></div>
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