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目的:提高对克罗恩病膀胱瘘的认识,以求早诊断早治疗。方法:报告3例克罗恩病膀胱瘘的临床资料,并结合相关文献综合分析讨论本病病因学、诊断和治疗。结果:术后随访至今治疗效果良好。结论:CT结合膀胱镜是确诊克罗恩病膀胱瘘的一线检查。在治疗上手术为首选,但大部分只需切除病变肠管,膀胱瘘并不需要特殊处理。
Objective: To improve the understanding of Crohn’s disease of bladder fistula to early diagnosis and early treatment. Methods: The clinical data of 3 cases of Crohn’s disease were reported. The etiology, diagnosis and treatment of this disease were discussed in combination with related literatures. Results: After treatment, the treatment effect is good. Conclusion: CT combined with cystoscopy is the first line of Crohn’s disease diagnosis of bladder fistula. In the treatment of surgery as the preferred, but most of the lesions just removed bowel, bladder fistula and does not require special treatment.