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作者对9例继发于憩室病的结肠膀胱瘘病人进行了研究。男7例,女2例,平均年龄63岁。所有病人术前作了腹部CT、钡灌肠或结肠镜检查,8例作了膀胱镜,1例因急症剖腹探查行脓肿引流而未作膀胱镜检。证实继发于憩室病的结肠膀胱瘘的CT所见包括:扫描前未进行直接的尿路器械操作的情况下显示憩室与膀胱内同时有气体;静脉内未注射对比剂的情况下膀胱内有经口服的对比剂;与局部膀胱壁增厚部位直接毗邻的结肠局部增厚。结果见到,9例均经手术证实憩室引起结肠膀胱瘘。所有病人有粪尿和气尿,一般发生在病变后期。仅4例有憩
The authors studied 9 patients with colonic vesiculous fistula secondary to diverticular disease. There were 7 males and 2 females, with an average age of 63 years. All patients underwent preoperative abdominal CT, barium enema or colonoscopy, cystoscopy in 8 cases, 1 case of emergency laparotomy abscess drainage without cystoscopy. Confirmed CT findings secondary to diverticular disease of the colonic vesical fistula include: the scan without the direct operation of the urinary tract equipment showed diverticulum and bladder simultaneously with gas; intravenous injection of contrast agent in the bladder without Orally administered contrast agent; local thickening of the colon directly adjacent to thickening of the local bladder wall. The results showed that 9 cases were confirmed by surgery diverticula caused by bladder fistula. All patients have excrement and air urine, usually in the late stage of the disease. Only 4 cases have rest