Jordan G H, Lynch D F, Warden S S, McCraw J D, Hoffman G C, Schellhammer P F
J Urol. 1985 Dec;134(6):1212-4. doi: 10.1016/s0022-5347(17)47691-9.
From April 1975 through April 1983, 152 patients were treated for localized adenocarcinoma of the prostate with interstitial implantation of 125iodine seeds. In each case bilateral pelvic lymph node dissection was performed at implantation. Five rectal complications developed: 2 rectal ulcers and 3 prostatic urethrorectal fistulas. Our method to treat these problems is presented together with our technique of reconstruction in patients with persistent fistulas despite fecal diversion. While urethrorectal fistulas represent potentially devastating complications of the 125iodine implantation procedure, reconstructive techniques can minimize and have reduced their long-term effects.
从1975年4月至1983年4月，152例局限性前列腺腺癌患者接受了碘-125粒子间质植入治疗。每例患者在植入时均进行了双侧盆腔淋巴结清扫术。出现了5例直肠并发症：2例直肠溃疡和3例前列腺尿道直肠瘘。我们介绍了治疗这些问题的方法以及对于尽管进行了粪便转流但仍存在持续性瘘管的患者的重建技术。虽然尿道直肠瘘是碘-125植入手术潜在的毁灭性并发症，但重建技术可以将其长期影响降至最低并已有所减少。
