膀胱肠瘘的诊断及治疗  

Diagnosis and treatment of enterovesical fistula

作　　者：何宁 郝钢跃[1] He Ning;Hao Gangyue(Department of Urology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院泌尿外科,100050

出　　处：《国际外科学杂志》2020年第9期631-635,共5页International Journal of Surgery

摘　　要：膀胱肠瘘正逐渐引起国内外医师的重视,近年来其诊疗技术也取得了较大进展。膀胱肠瘘的病因主要为肠道憩室炎、恶性肿瘤及克罗恩病。膀胱肠瘘的常见临床症状为气尿、粪尿及反复泌尿系统感染,其他伴随症状可为肉眼血尿、尿臭、下腹痛等。CT及膀胱镜为膀胱肠瘘的一线辅助检查。膀胱肠瘘一般多采用手术治疗,但对于克罗恩病导致的膀胱肠瘘,药物治疗是首先考虑的选择。本文通过回顾最近已发表的相关文献,就膀胱肠瘘的诊疗进展进行综述。Enterovesical fistula is gradually attracting the attention of doctors at home and abroad,its diagnosis and treatment technologies have also made great progress in recent years.The major etiologies of enterovesical fistula are intestinal diverticulitis,malignancy and Crohn′s disease.Common clinical symptoms of enterovesical fistula are pneumaturia,fecaluria and recurrent urinary tract infections.There are also some other accompanying symptoms such as gross hematuria,smelly urine,abdominal pain,etc.CT and cystoscope are the most two significant auxiliary examinations.The general treatment of enterovesical fistula is surgery.However,when it comes to enterovesical fistula caused by Crohn′s disease,drug therapy should be considered at first in most cases.By reviewing the recent published literature,this article will briefly review the progress of diagnosis and treatment of enterovesical fistula.

关 键 词：膀胱瘘 肠瘘 诊断 

分 类 号：R699.5[医药卫生—泌尿科学]