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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.

DOI:10.3892/etm.2022.11418
PMID:35837074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9257753/
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/9257753/16b756e3fd4e/etm-24-02-11418-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ee/9257753/e7519b9af5ac/etm-24-02-11418-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ee/9257753/16b756e3fd4e/etm-24-02-11418-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ee/9257753/e7519b9af5ac/etm-24-02-11418-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25ee/9257753/16b756e3fd4e/etm-24-02-11418-g01.jpg

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本文引用的文献

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Cancer Statistics, 2021.癌症统计数据,2021.
CA Cancer J Clin. 2021 Jan;71(1):7-33. doi: 10.3322/caac.21654. Epub 2021 Jan 12.
2
Bladder preservation therapy for muscle invasive bladder cancer: the past, present and future.膀胱癌的膀胱保留治疗:过去、现在和未来。
Jpn J Clin Oncol. 2020 Sep 28;50(10):1097-1107. doi: 10.1093/jjco/hyaa155.
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Improving Estimates of Perioperative Morbidity After Radical Cystectomy Using the European Association of Urology Quality Criteria for Standardized Reporting and Introducing the Comprehensive Complication Index.
利用欧洲泌尿外科学会标准化报告质量标准并引入综合并发症指数改善根治性膀胱切除术后围手术期发病率的评估
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Is the open cystectomy era over? An update on the available evidence.开放性膀胱切除术的时代结束了吗?现有证据的最新情况。
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Lessons from 151 ureteral reimplantations for postcystectomy ureteroenteric strictures: A single-center experience over a decade.151例膀胱切除术后输尿管肠吻合口狭窄行输尿管再植术的经验教训:单中心十年经验
Urol Oncol. 2017 Mar;35(3):112.e19-112.e25. doi: 10.1016/j.urolonc.2016.10.005. Epub 2016 Nov 4.
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[Ureterovaginal fistulae].
Urologia. 2015 Jan-Mar;82(1):22-9. doi: 10.5301/uro.5000110.
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Progressive ureteral dilations and retrograde placement of single-j stent guided by flexible cystoscope for management of ureteroenteral anastomotic stricture in patients after radical cystectomy and bricker urinary diversion.在根治性膀胱切除术和Bricker尿流改道术后患者中,采用软性膀胱镜引导下进行输尿管渐进性扩张和单J支架逆行置入,以处理输尿管肠吻合口狭窄。
J Endourol. 2015 Jan;29(1):90-4. doi: 10.1089/end.2014.0196.