Puyol M, Alcaraz A, Romero J A, Vargas C, González S, Barrera M, Llovera J M, Piulachs J, Talbot-Wright R, Carretero P
Servicio de Cirugía General y Digestiva, Hospital Clínico y Provincial de Barcelona, España.
Arch Esp Urol. 1990 Jun;43(5):457-60.
We performed a retrospective study on 22 patients with entero-urinary fistulas that had been diagnosed and treated at the Hospital Clinico i Provincial in Barcelona during the period spanning 1981-1988. Fistulas were classified according to the organs or parts with which they communicated. Among the important etiogenic conditions were diverticular disease of colon. Crohn's disease, actinic lesions, trauma and xanthogranulomatous pyelonephritis. The clinical manifestations were principally urological in the form of recurrent urinary infection and terminal pneumaturia. The most useful diagnostic techniques were cystoscopy; serial voiding cystourethrography (SVCU), retrograde urethrography and pyelography. Treatment was by surgery in all cases. Diversion procedures or surgical excision of the fistulous tract were performed as warranted by each case. The etiopathogenic, morphological and therapeutical aspects of vesico-enteric fistulas are discussed.
我们对1981年至1988年期间在巴塞罗那省立临床医院确诊并接受治疗的22例肠-泌尿瘘患者进行了一项回顾性研究。瘘管根据与之相通的器官或部位进行分类。重要的病因包括结肠憩室病、克罗恩病、光化性病变、创伤和黄色肉芽肿性肾盂肾炎。临床表现主要为泌尿系统症状，表现为反复尿路感染和终末气尿。最有用的诊断技术是膀胱镜检查、系列排尿膀胱尿道造影（SVCU）、逆行尿道造影和肾盂造影。所有病例均采用手术治疗。根据每个病例的情况进行改道手术或瘘管的手术切除。本文讨论了膀胱-肠道瘘的病因、形态学和治疗方面。
