克隆病合并膀胱内瘘的诊治分析(附12例报告)  

Diagnosis and treatment of Crohn's disease complicated with intravesical fistulae

作　　者：周军[1] 陈双[1] 章立[2] 杨斌[1] 兰平[3] 汪建平[3] 

机构地区：[1]中山大学附属第二医院胃肠外科,广州510120 [2]贵州省人民医院普外科 [3]中山大学附属第六医院结直肠外科

出　　处：《中华普通外科学文献（电子版）》2009年第3期39-41,共3页Chinese Archives of General Surgery(Electronic Edition)

基　　金：国家自然科学基金资助项目(39970335);广东省自然科学基金资助项目(970055)

摘　　要：目的总结分析克隆病合并膀胱内瘘的临床特点和诊治策略。方法多单位联合回顾性统计12例克隆病(Crohn's disease,CD)合并膀胱内瘘的病例数据,包括年龄、性别、症状、治疗措施、手术情况、并发症、术后Α院时间及临床随访等情况,κ料来源于克隆病临床数据库。结果克隆病合并膀胱内瘘的症状以气尿为主(66.67%),12例患者均有脓尿;全组病例中行I期受累肠段切除+膀胱修补8例(66.67%);10例术后平均随访24.28个月,无疾病复发。结论克隆病患者出现气尿为合并膀胱内瘘的主要临床证据;源器官切除+靶器官修补的外科治疗方法预后良好。Objective To summarize and analyze the clinical characters and management of Crohn＇s disease（CD） complicated with intravesical fistulae. Methods To investigate the multi-unit statistic data of 12 CD cases complicated with intravesical fistulae, which including the age, sex, symptom, therapeutic measure, oper- ative status, postoperative stay length and clinical follow-up. All the document were from CD clinical database. Results All cases had pyuria symptom. Eight cases（66.67%） showed pneumatinuria notably, who were underwent primary affected intestinal resection with vesiconeoplasty. Ten cases were followed up for 24.28 months medially, and no one recurred. Conclusions Advent ofpneumatinuria is the clinical evidence ofCrohn＇s disease complicated with intravesical fistulae. Source organ resection with target organ neoplasty is an eusemia surgical treament.

关 键 词：克隆病 膀胱瘘 临床分析 治疗方法 

分 类 号：R656.7[医药卫生—外科学] R694[医药卫生—临床医学]