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目的探讨膀胱肠瘘的诊断与治疗方法,提高对膀胱肠瘘的认识及诊治水平。方法总结本院3例患者的临床资料,并复习文献分析讨论。结果 3例原发病灶均在肠道并全部手术治疗,即包括病变肠段切除及肠端端吻合术加瘘管及膀胱部分切除术,术后病检提示分别为回肠膀胱黏膜相关淋巴瘤、盲肠慢性炎症、回肠Crohn’s病。结论膀胱肠瘘最常见的临床表现为尿频、尿急、尿痛、粪尿及终末气尿,钡剂灌肠、腹部CT扫描和膀胱镜是诊断膀胱肠瘘的有效检查方法,治疗应行病变肠段切除及肠端端吻合术加瘘管及膀胱部分切除术,若为肿瘤则应根据病变病理性质确定术式。
Objective To investigate the diagnosis and treatment of bladder intestinal fistula and to improve the understanding and diagnosis and treatment of bladder intestinal fistula. Methods Summarize the clinical data of 3 patients in our hospital and review the literature analysis and discussion. Results All 3 cases of primary lesion were treated in the intestine and all the surgeries, including the resection of the bowel segment, the anastomosis of the intestine and fistula and partial resection of the bladder. The postoperative pathological findings were ileal bladder mucosa-associated lymphoma, cecum Chronic inflammation, Crohn’s disease of the ileum. Conclusions The most common clinical manifestations of bladder fistula are frequent examination of urinary frequency, urinary urgency, dysuria, excretion of urine and end-stage airway, barium enema, abdominal CT scan and cystoscopy in the diagnosis of bladder fistula. Intestinal resection and intestinal anastomosis plus fistula and partial resection of the bladder, if the tumor should be based on the pathological nature of the disease to determine the operation.