克罗恩病膀胱回肠瘘误诊2例并文献复习  

Enterovesical fistulas in Crohn′s disease:Report of 2 cases and review of the literature

作　　者：薛松[1] 魏磊[1] 程文[1] 葛京平[1] 周水根[1] 

机构地区：[1]南京军区南京总医院泌尿外科,南京医学博士210002

出　　处：《医学研究生学报》2012年第1期51-53,共3页Journal of Medical Postgraduates

摘　　要：克罗恩病膀胱瘘容易误诊,需提高对它的认识,以求早诊断早治疗。文中报道2例克罗恩病膀胱瘘误诊的临床资料,并结合文献综合分析讨论其病因学、诊断和治疗。2例均行手术并经病理确诊,术后随访至今治疗效果良好。认为CT结合膀胱镜是确诊克罗恩病膀胱瘘的首选检查。在治疗上手术为首选,大部分患者只需切除病变肠管,膀胱瘘并不需要特殊处理。Enterovesical fistula in Crohn′s disease is easy to be misdiagnosed,which necessitates a deeper insight into the disease so as to achieve earlier diagnosis and treatment.This article reports 2 cases of enterovesical fistula in Crohn′s disease,reviews relevant literature and analyzes the etiology,diagnosis and treatment of the disease.Both the 2 cases were treated by surgery and follow-up revealed no serious postoperative complications.CT combined with cystoscopy is the first choice for the diagnosis of enterovesical fistulas in Crohn′s disease,and surgical resection is the main method for its treatment.For most cases,simply resection of the bowel lesions is enough,and bladder fistula needs no special treatment.

关 键 词：克罗恩病 回肠膀胱瘘 腺性膀胱炎 

分 类 号：R694.13[医药卫生—泌尿科学]