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[膀胱结肠瘘的诊断与治疗方面。我们的经验回顾]

[Diagnostic and therapeutic aspects of vesico-colonic fistulae. Review of our experience].

作者信息

Fernández Fernández A, Ramirez Bañuelos M J, García López de la Calle P, Lalinde García J, Gil Fabra J, Soria Ruiz S, Virto Bajo J, Otero Mauricio G

机构信息

Servicio de Urología, Complejo Hospitalario San Millán San Pedro, Logroño, La Rioja.

出版信息

Actas Urol Esp. 1992 Oct;16(9):727-30.

PMID:1488926
Abstract

Analysis of 10 fistulae in 9 patients, all male. The etiology was diverse although there was a predominance of colovesical diverticulitis. Mictional urinary symptomatology was most frequent. In one case symptoms had been first referred 10 months earlier, while the others ranged between 24 hours and 15 days. Cystography was the radiological procedure which diagnosed more cases whereas cystoscopy was the endoscopic procedure which provides more data. Seven fistulae were treated surgically, in 5 instances with curative and 2 with palliative purposes. Three cases were subsidiary to surgery. 44.4% of patients died within one month from diagnosis.

摘要

对9名男性患者的10个瘘管进行分析。病因多样,尽管结肠膀胱憩室炎占多数。排尿症状最为常见。1例患者症状最初出现于10个月前,其他患者症状出现时间在24小时至15天之间。膀胱造影是诊断病例较多的放射学检查方法,而膀胱镜检查是提供更多数据的内镜检查方法。7个瘘管接受了手术治疗,5例为根治性手术,2例为姑息性手术。3例为手术并发症。44.4%的患者在诊断后1个月内死亡。

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