一名女性放射性直肠膀胱瘘的回肠治疗：病例报告及文献综述
Management of radiation-induced rectovesical fistula in a woman using ileum: A case report and review of the literature.
作者信息
Mao Qiqi, Luo Jindan, Fang Jiajie, Jiang Hai
机构信息
Department of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.
出版信息
Medicine (Baltimore). 2017 Nov;96(46):e8553. doi: 10.1097/MD.0000000000008553.
BACKGROUND
Radiation-induced rectovesical fistulas (RVFs) require the most demanding treatment. We presented a rare case of postradiation RVF in a woman repaired with ileum.
CASE PRESENTATION
A 49-year-old women was referred to our department for fecaluria and dysuria after radiation for cervical cancer. The voiding cystourethrography demonstrated a large RVF. A segment of ileum was separated into 2 parts for the simultaneous reconstruction of bladder and rectum, which led to a permanently closed fistula. This approach is easily accessible via transabdominal approach, could be applied for large defect, and bladder augmentation could be performed simultaneously.
CONCLUSION
The repair of an RVF using ileum appears feasible and represents an attractive alternative for the management of RVFs.
背景
放射性直肠膀胱瘘（RVF）的治疗要求极高。我们报告了一例罕见的女性放射性直肠膀胱瘘病例，采用回肠进行修复。
病例介绍
一名49岁女性因宫颈癌放疗后出现粪尿和排尿困难转诊至我科。排尿性膀胱尿道造影显示巨大的直肠膀胱瘘。将一段回肠分成两部分，同时重建膀胱和直肠，从而使瘘口永久闭合。该方法经腹入路易于操作，可用于大的缺损，且可同时进行膀胱扩大术。
结论
使用回肠修复直肠膀胱瘘似乎是可行的，是处理直肠膀胱瘘的一种有吸引力的替代方法。
Zotero 插件