3例炎性膀胱肠瘘临床分析  

CLINICAL ANALYSIS OF 3 CASES INFLAMMATORY VESICOENTERIC FISTULA

作　　者：周灿轩 

机构地区：[1]东莞市横沥医院泌尿科,广东东莞523460

出　　处：《承德医学院学报》2011年第2期133-134,共2页Journal of Chengde Medical University

摘　　要：目的:探讨炎性膀胱肠瘘的临床诊断与治疗。方法:回顾性分析3例膀胱肠瘘患者的临床资料。2例为乙状结肠膀胱瘘,1例为阑尾膀胱瘘合并膀胱会阴瘘;3例患者均行手术治疗,乙状结肠膀胱瘘切除部分结肠段,阑尾膀胱瘘行逆行阑尾切除,膀胱瘘口连同周围2cm膀胱部分切除,全层修补。术后病理均为炎症性瘘道。结果:3例膀胱肠瘘患者均治愈,随访无复发。结论:膀胱肠瘘发生中炎症性病因多见,主要临床表现为气尿和反复尿路感染;膀胱镜、CT、膀胱造影为主要检查方法,治疗以手术为主。Objective：To investigate diagnosis and treatment of inflammatory vesicoenteric fistula.Methods：The clinical data of 3 cases inflammatory vesicoenteric fistula were retrospectively analyzed.Of the 3 cases：2 cases were sigmoidovesical fistula,1 case was appendix bladder fistula combined vesicoperineal fistula.The 3 cases were all treated by operation.Sigmoidovesical fistula：part of the colon was excised;appendix bladder fistula：the appendix vermiform was performed retrograding excision,urinary bladder orificium fistulae and its＇ 2cm surrounding tissue were excised at the same time and performed full-thickness mending.Results：The 3 vesicoenteric fistula patients were all cured and no recurrence by following up.Conclusions：Inflammation is the main cause of vesicoenteric fistula,its＇ major clinical features are pneumatinuria and repeated urinary infection;cystoscope,CT and cystography are main checking methods and surgery is preferred therapy.

关 键 词：膀胱肠瘘 临床分析 治疗 

分 类 号：R694[医药卫生—泌尿科学]