543
222193220014562122182
Ces8507930014570127174
Urol10497930014578115180208
2024;12827930014562121178235258
28(3):15657930014562121154212241263
221–22718547930014561121176230285345402
ORIGINÁLNÍ852200016996181224324367468561635735777
PRÁCE1676200016974156253339415
Závěr:1000890013561117169223261287
Perzistující1306890013154104134179201239272329350371418439
urachus176489001315788136184240296334
je211789001312375
indikován221189001312278137158202257304353409
ke263989001314696
kom‑2755890013145101189221
pletní850104001316184137170228250
exstirpaci11241040013153101143177200231291341390412
s15601040013141
dobrou16251040013160118178210267325
prognózou.1974104001316092149209267325367424482501
KLÍČOVÁ8521330014770132164236320392464
SLOVA13431330014762123207279351
Perzistující8501490013155106137183206245280337359381429451
urachus,1325149001315890140188246303342361
dětský17101490013160112145187232284
věk,20181490013149101146168
exstirpace.22101490013153101143178200231291341390441458
SUMMARY8521780014762143243345423493561
Novák10001940013172133184236284
I,1321194001312443
Kuliaček14011940013157116140163213264317365
P,1803194001315762
Štichhauer1902194001315385109160220281332392447480
R,2419194001315779
Holická25351940013171132157180231278332
L,2904194001315072
Merkl8502090013186139170216241
T,1113209001315163
Rejtar11992090013155108130164213245
P,1466209001315560
Kopřiva15482090013155112172204227276326
J,1896209001313855
Štepánovská1974209001315182133192242300358406447492543
J,2539209001313855
Podhola26172090013155111171229287310359
M,8502240013186105
Hovorková9792240013169128176233265311368416466
E.1469224001315170
Persistent15632240013155106137178199238273324382414
urachus.2001224001315889139188246303342362
Objective:10002390013577142171228278318345401456481
The15022390013151111164
authors16882390013150107141199257289330
present2040239001316092144184237295327
a23892390013150
series2461239001314194125148200241
of2723239001315987
pa‑28322390013161111144
tients851254001313456109167198240
treated1115254001313466117165198249309
for1448254001312986118
persistent15902540013161115146187208247282333391423
urachus2037254001315889139188246303342
pathologies.24032540013161111143201259282340400422475515535
Patient10002690013562117156183241304343
cohort13732690013550112175238278319
and17232690013556120184
method:19382690013594152191254317382408
Retrospective23772690013156110143176233273333388438475497547600
analysis8502840013150108156179227267289327
of1208284001315887
a13252840013150
group1405284001316091148206265
of1701284001315887
1618182840013154100
patients19492840013160110143165217275307349
(92328284001312978
girls,2436284001316082113136175194
726602840013154
boys)27442840013161120167207232
treated850299001313466117165197248309
between11882990013160114147229281335393
201316102990013154105153197
and18362990013150108168
202320322990013154106155208
with22692990013179102135193
a24912990013150
diagnosis2570299001316082130189247305345367406
of850314001315987
persistent9613140013161115146187208247282333391423
urachus.1408314001315889139188246303342361
Results:10003290013563120167229258296343369
Urachal14003290013169101151201259308331
cyst17643290013149101142177
was19743290013180130170
diagnosed2177329001316083131192250309350403464
preop‑2674329001316194146206267302
eratively850344001315487138172195245299322371
in1255344001312382
111371344001315597
patients15013440013162113147170224283316359
(69%),1893344001313082135218245261
urachal2187344001316092144194253303326
sinus2547344001314264123182222
was28033440013181132173
diagnosed850359001316082130189247305345398459
in1333359001312381
414383590013153
patients15163590013160110143165217275307349
(25%),1889359001312980133211236251
and21653590013150107167
persistent23563590013161115146187208247282333391423
ura‑2803359001315890140173
chus8503740013149107164203
was10823740013179129169
found1279374001312986144202261
in1569374001312380
one16783740013159117170
patient18773740013160110143165217275307
(6%).2213374001312979158183198
Thirteen24403740013151111133164201252306364
pa‑28323740013161111144
tients850389001313456109167198240
underwent11123890013159116176229260342395452484
surgical1618389001314198129187209257307329
excision19693890013154101148170209230288347
of2338389001315887
the2447389001313492145
urachus.2614389001315990140189246303343362
Three8504040013152112144196251
patients11334040013161112145167220279311354
in1519404001312382
the1633404001313593147
cohort18134040013149106165224257294
were21404040013180133165217
not23904040013159118151
operated25744040013159120174206257289341402
on8504190013159117
during9894190013160117148171228288
the1299419001313492145
follow-up1466419001312986109131189267300359419
period.19074190013160114146168226287305
One22344190013174133186
of2442419001315987
them2551419001313492145234
was28074190013180129169
later850434001312475108161194
indicated1078434001312484146169219271305358420
for1532434001313090123
excision16894340013155105154177217240300361
based20844340013162114156211274
on23924340013160121
magnetic25474340013192143205265320355379429
resonance850449001313386127186246296355405457
imaging13404490013123113163224247305366
(MRI)17394490013130114170193222
findings.1994449001312754113173196255315355376
Two24034490013152124183
patients26194490013162113146169222281314357
did850464001316082141
not10184640013159117149
require1194464001313384144202223255306
surgery.1527464001314198129187240271323336
In1890464001312381
one19984640013159117170
case,2195464001314999139192209
sonographic24304640013142100158216277308358417476498546
findings850479001312653110168190246305343
disappeared1213479001316081119169228287340388418469529
after1761479001315077114165195
conservative19764790013149104162200253284336385417438487538
treatment,2534479001313364115163194283335392424442
and8504940013150108168
in1050494001312381
another11634940013150108166199257311342
case,1537494001314999139193209
the1779494001313492145
condition19574940013149105164223245279301359417
was24074940013179129169
resolved2608494001313385125183207256308368
by8505090013161109
incision992509001312381131153193214273332
of1357509001315988
an14785090013150108
inflammatory1619509001312382108135184274364413446503535588
cyst22405090013149101142177
followed2450509001312987110132191270323384
by28675090013161109
conservative8505240013149105163203256287340390422444494545
management.14255240013190139196245304357446500557589608
Both20635240013155114146204
patients22965240013161111143165218276307349
remain2674524001313384173222244302
asymptomatic.850539001315091141233293326383474524557579628648
Among15315390013165155214274334
the1898539001313493147
1320785390013154100
surgically2210539001314299131190212261312335357406
excised26495390013153102150172212266327
specimens,8505540013141100154204225314367425465483
histological1358554001315980119154210233291351373421471493
structures1876554001314175107165214250308339390431
confirming23315540013149105164189216247337358416475
the2831554001313492145
diagnosis850569001316285135197257318360383424
of1308569001316090
urachus1433569001316093145196256316357
were18245690013182136169223
demonstrated20825690013161116209270331372408442494528581644
in2760569001312484
112878569001315698
patients,8505840013161111143166218276308350369
while12515840013180139160182235
no15195840013159117
urachal1668584001315990141189247296319
tissue201958400131345695135192245
structures2296584001314176108166215252309341393433
were27615840013180132164215
found850599001312986144202261
in1135599001312381
two12405990013134116173
patients.14375990013161111143165217275307349368
Conclusion:10006140013564124187236263325370398459522546
Persistent15676140013155105136177198237271322379411
urachus1998614001315889139187244301340
warrants23586140013179129160192241299330372
com‑27506140013149104194227
plete850629001316184137170221
excision10956290013153101148170209230288346
with14656290013180102136194
a16836290013150
favorable1757629001312879127184216266325348401
prognosis.2182629001316193149210268326366387426446
KEY8526580014770134206
WORDS108565800147105189260345408
Persistent8506740013155106137178199238273324382414
urachus,1288674001315889139188246303342361
pediatric16736740013160114175196245277309331379
age,20776740013150109162179
excision.22806740013153101148169208230287346365
………85071800147120240360
ÚVOD3205850018197183286388
Urachus3203119001316998147194250306344
vzniká3565119001315095152173216266
z38491190013144
alantois3911119001315071118174205260281318
jako4247119001312471115170
trojvrstevná4435119001313465120141189220260293342390447495
tubulární4948119001313490148205226273303360370370
struktura3203134001314174105162207242299329378
s36021340013141
vnitřní36641340013150108129161191249269
výstelkou39541340013150101141174224245289345402
tvořenou4377134001313485141172222279336393
v47911340013150
7048621340013154103
%49861340013181
z50881340013144
pře‑5154134001316091141175
chodného32031490013151110169231290345404464
epitelu,36991490013155116139173226248307325
ve40571490013151104
3041941490013155108
%43351490013184
kubickým44511490013148108169192241287315315433
epitelem.49161490013155116139173225248302394413
Vnější32031640013156112164185223244
vrstva,3477164001315082122156208257274
hladká3782164001315980128187232282
svalovina,4094164001314191140162219267289345394411
přechází4535164001316192143192249297341363
do49281640013160118
svalo‑5076164001314191140161219253
viny3203179001315071128173
detruzoru,33971790013160112144174231275330361418435
střední3853179001314175105155214271292
vrstvu4166179001315081121154206263
tvoří4450179001313485141172193
pojivo.46641790013161119141161209265282
Perzistu‑49671790013155105135180202240273330362
jící320319400131244491112
urachus3337194001315989138185242298336
vzniká3696194001315095153173218267
v39861940013150
důsledku40591940013160115153174226285329386
nekompletního44681940013159111156211300358380432464521542601658
pre/5149194001316091142180
postnatálního32032090013160117156188245292322370390446466524580
uzávěru38012090013157100149194244274330
původně41482090013160116164219277333384
tubulární4549209001313490147204224271300357377
struktury.4944209001314073103159203238294323373385
Probíhá3203224001315585140199221280327
mezi35522240013190142186207
transverzá3781224001313465114170208258308339384409409
lní42132240013123798888
fascií4335224001312878117164185194194
a45622240013150
ná463422400131598282
stě47382240013141759898
nným48602240013159116161250
peri‑51322240013160113144165197
toneem3203239001313489146198251339
břišní3563239001316192113151207228
stěny,3812239001314275125181226238
kryt4072239001314678129165
umbilikoveziká42592390013158146205226247267311367414465509530574599599
lních4881239001312379100147203
fascií.5106239001312978117165185194194223
Jde3353254001313897150
o35232540013159
vzácnou3602254001314996146195252310368
vrozenou3990254001315082138180232289347405
anomá44152540013150108166255279279
lii,47182540013123446683
dvakrá48212540013160109159204237262262
t51062540013134
č5160254001312525
as‑5209254001315089120
tější320326900131345858107145145159159
u34022690013158
mužů34922690013190147191191230230
než37732690013159112134134
u39612690013159
žen.405226900131222295153172
Rozlišují42562690013156114156179201219219296318340
se4628269001314194
čtyři475426900131242485136152152191
základní497726900131447070140165213273331341341
typy:3203284001313485146193213
1)3353299001315474
Perzistující34482990013156106138184207245280338360370370429440440
urachus3921299001315889139188246303342
–42852990013155
urachus4361299001315990140188246303343
neobliterová47252990013159112171231254276309360392448496521521
n52702990013159
v32033140013149
celé3270314001314998119144144
m34393140013188
své3545314001314189113113
m36833140013188
prů3790314001315990118118
bě393431400131608686
hu.40443140013158113131
Činí4194314001316182138147147
zhruba43713140013143100130186244292
5046823140013153103
%48033140013180
vrozený4901314001314980135176226282302302
ch52253140013148104
anomálií32033290013150108166256280280327348358358
urachu.3597329001315890140188246303322
2)3353344001315480
Cysta34613440013162104144179228
urachu3717344001315990140189246303
–40483440013155
urachus4131344001315990140189246303343
uzavřený45023440013158102153201217217284342364364
na49183440013159108
ú5054344001312929
rovni5111344001313389137196218
pupku32033590013162123184233293
i35303590013123
močového35873590013193153179179262313339339427487
měchýře.41083590013193120120199259307307330330394412
Zůstává455435900131618989159195221221296323323
otevřený4936359001316094147198215215285345368368
kdekoliv32033740013147105157203260283304354
v35773740013150
prů3647374001316193122122
bě379637400131618888
hu.39103740013159116134
Cysty40653740013162104144179230
urachu4315374001315990140188246303
se4639374001314194
vyskytují47533740013150102142187239276334356366366
pře‑515137400131607676143178
devším32033890013160113161202202216216312
v35443890013149
dolní36223890013160118141198208208
třetině387138900131344949117150172229255255
urachu4182389001315889139188246303
a45133890013150
tvoří4592389001313486143175175190190
3048183890013154106
%49523890013181
vroze‑5062389001315082139181233267
ných32034040013159105152210
anomá34374040013150108166256280280
lií37414040013123445555
urachu.3831404001315990140188246303322
3)3353419001315478
Sinus3454419001315172129186226
urachu3702419001315889139188246303
–40274190013155
veziká41044190013150101146169214240240
lní43674190013124819191
konec44924190013146103162215264
obliterovaný,47784190013159119142164197248280336384434492514514551
ale3203434001315073127
umbilikální33624340013159149210233255277323349349397455465465
konec38724340013147104163217267
zůstává417243400131457474143178203203277302302
otevřený4532434001315992144193209209278336359359
a49484340013150
ústí503143400131292999134145145
na52204340013160109
spodině32034490013141100159220242299325325
pupeční35814490013160118178232257257339349349
jizvy.396744900131244589142194208
Tvoří4200449001315193150182182197197
154430449001315499
%45544490013181
vrozených4661449001315082139181232290312312384442
ano‑51284490013150108166201
málií32034640013190114114161183193193
urachu.3431464001315990140189246303322
4)3353479001315479
Vezikourachá34524790013156105149172217273331362412461518542542
lní40184790013123809090
divertikl4140479001316081130182213250272317341
–45014790013155
umbiliká45774790013158147206228250272317342342
lní49434790013123819191
konec50654790013147103162215264
urachu3203494001315787135182238293
je3515494001312374
obliterovaný36074940013157116138158190239269324370418474495495
a41444940013149
veziká4212494001314898141163206231231
lní44664940013122788787
zů458349400131437171
stá46804940013140739797
vá479849400131497373
neuzavře‑49134940013158110165208257302333383416
ný.32035090013159105118
Tvoří3346509001315193150182182196196
3–535745090013154109160
%37585090013182
vrozených3864509001314982138181232290312312384441
anomá43295090013150108166256280280
lií46335090013123455555
urachu.4723509001315990140189246303322
Hlavní3353524001316990138185243264
problematiku3636524001316192148207229281369417449470515572
představují4227524001316092142201240274322369427448469
sekrece4716524001314193138170221270320
z50555240013144
pup‑51195240013160117176210
ku,32035390013146102119
bolestivé,33415390013160117139190229262284331382397
zánětlivé3757539001314493149200232253274321372
infiltrace4148539001312278103129149181212260307357
a45245390013149
v45915390013149
dospělosti46595390013159115154211264285341380413434
mož‑51125390013188145186217
nost32035540013159117157192
maligního34195540013190139161182242299321381439
zvratu3882554001314598130180212270
v41765540013150
karcinom4250554001314697128175197254313402
urachu.4676554001315990140189246303322
METODIKA320559500181121197276378481519602701
A39415950018191
SOUBOR40675950018174179278361467550
Autoři32036290013165121155211243266
prezentují3501629001316193145190241300332390412434
retrospektivní3967629001313384118150206247306360406443466515574596
analýzu45966290013150108157179227274333
souboru49616290013141100158218277310368
nemocných32036440013159112201259309367413460518
léčených3743644001312376125176234280327385
na41506440013159108
pracovišti4280644001316092142191247295318357391413
v47156440013150
letech4787644001312376109160209267
2013–50766440013154105153198253
202332036590013154105155208
s34306590013141
diagnózou3495659001316082130189247305347404462
perzistujícího39816590013161115146192215254289346368390438460520578
urachu.4583659001315990140189246303322
V33536740013156
daném34366740013160109166219308
období37716740013159119180238298320
bylo41186740013161108131189
léčeno4334674001312476126176234293
na46546740013158107
pracovišti4788674001316193143192247296319357392414
1652296740013153100
nemocných32036890013159112201259309367413460518
(93750689001312978
dívek,3857689001315981130182228249
741356890013154
chlapců).42176890013149107129178237287344369384
Věk46306890013156107152
nemocných48116890013159112201259309367413460518
byl32037040013161108131
v33607040013150
rozmezí3436704001313289131221274319341
≤138047040013165112
m39357040013190
až4051704001315095
18341727040013153100151
m43427040013190
(medián44597040013129115168228250298356
7248417040013154106
m).49667040013190115130
Paci‑51227040013156104152174207
enti32037190013153111143165
udávali33897190013158118166214264286307
následující37177190013159108148170222283340362383431453
potíže:41917190013161120152174218269287
7×44997190013153116
sekrece4636719001314194140173225274325
z49827190013144
pupku50477190013160118178224282
(3×3203734001312979141
serózní,3364734001314193124180221279301318
3×37027340013153115
hnisavá,38377340013159116137175225272321339
1×41967340013153109
urinózní),4325734001315889111168225267325346380395
6×47407340013153115
bolesti48757340013160118141193233267289
bři‑5183734001316192114146
cha,32037490013149106154172
2×33957490013154118
projevy3533749001316092148170222270322
lokálního3875749001312381126177199255277336394
zánětu4289749001314494152204237294
(začervenání),4603749001312972122170220251304355413461518539573588
2×52117490013153118
vyklenování32037640013149101146170222279337384433490511
pupku,37347640013160117176221279296
1×40507640013153109
subfebrilie.4179764001314096155182234293324346367388440457
U46557640013169
všech4743764001315089141190247
byl50107640013160106129
ura‑5159764001315788137170