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尿瘘的保守治疗:病例报告。

Conservative treatment of urinary fistula: Case report.

作者信息

Wang Zhaojuan, Qin Yujie, Yang Changjun, Wei Xiaoyi, Qian Jun, Tu Song, Yao Jiaxi

机构信息

Department of Pharmacy, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China.

Department of Endoscopy Center, Hexi University Affiliated Zhangye People's Hospital, Zhangye, Gansu 734000, P.R. China.

出版信息

Exp Ther Med. 2022 Jun 6;24(2):491. doi: 10.3892/etm.2022.11418. eCollection 2022 Aug.

Abstract

Radical cystectomy is the gold standard treatment for muscular invasive bladder cancer. Bricker surgery is the most common technique used for urinary diversion; however, troublesome complications such as postoperative anastomotic stenosis or fistula may occur. The case of a patient who had a urinary fistula after Bricker surgery performed at our hospital, is described. The patient was successfully treated with continuous double-cannula negative-pressure drainage and avoided a second surgery. The patient recovered well and is on regular follow-up. This case highlights the importance of timely and relevant treatment for patients with postoperative urinary fistula to avoid more invasive surgery.

摘要

根治性膀胱切除术是肌肉浸润性膀胱癌的金标准治疗方法。Bricker手术是尿流改道最常用的技术;然而,可能会出现诸如术后吻合口狭窄或瘘管等麻烦的并发症。本文描述了一名在我院接受Bricker手术后出现尿瘘的患者病例。该患者通过持续双套管负压引流成功治愈,避免了二次手术。患者恢复良好,正在定期随访。该病例突出了对术后尿瘘患者及时进行相关治疗以避免更具侵入性手术的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ee/9257753/e7519b9af5ac/etm-24-02-11418-g00.jpg

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