Nauclér J, Risberg B
Acta Chir Scand. 1981;147(6):435-7.
A review of the symptoms and signs as well as preoperative investigations was made in 12 patients with proved colovesical fistulas. The symptoms were predominantly those of the lower urinary tract. The value of barium enema, cystogram, cystoscopy and sigmoidoscopy was pointed out. Treatment consisted of a combined treatment with colostomy and indwelling bladder catheter, primary closure of the fistula only and various staged procedures with bowel resection. We emphasize the value of the one-stage procedure in the uncomplicated case.
对12例已证实患有结肠膀胱瘘的患者的症状、体征以及术前检查进行了回顾。症状主要为下尿路症状。指出了钡灌肠、膀胱造影、膀胱镜检查和乙状结肠镜检查的价值。治疗包括结肠造口术和留置膀胱导管的联合治疗、仅对瘘管进行一期缝合以及各种分期进行的肠切除术。我们强调在无并发症的病例中一期手术的价值。
