Larsen A, Johansen T E
Kirurgisk avdeling, Telemark sentralsjukehus, Porsgrunn.
Tidsskr Nor Laegeforen. 1993 Feb 28;113(6):716-8.
During the period 1978 to 1991, 19 patients were treated for fistula of the urinary bladder, 12 of the fistulas were enterovesical, four vesicovaginal, one vesicouterine and two vesicocutaneous. Most of them occurred after diverticulitis or operation, or when the patient suffered from a malignant disease. Four patients received conservative treatment. One patient decided against an operation, two were inoperable, and one fistula closed with use of an indwelling catheter. 15 were operated on. 12 extirpations of fistula were carried out. Additional resection of intestine was performed in seven patients and hysterectomia in two patients. Other procedures included two enterostomias and one ileum bladder. In ten patients postoperative courses were uneventful. Four patients died during the first month after operation. One suffered a relapse, and another damage to the nerves of the bladder.
在1978年至1991年期间，19例患者接受了膀胱瘘治疗，其中12例为肠膀胱瘘，4例为膀胱阴道瘘，1例为膀胱子宫瘘，2例为膀胱皮肤瘘。大多数瘘发生在憩室炎或手术后，或患者患有恶性疾病时。4例患者接受了保守治疗。1例患者决定不做手术，2例无法手术，1例瘘通过留置导尿管闭合。15例患者接受了手术。进行了12次瘘管切除术。7例患者进行了额外的肠切除术，2例患者进行了子宫切除术。其他手术包括2次肠造口术和1次回肠膀胱术。10例患者术后病程顺利。4例患者在术后第一个月内死亡。1例复发，另1例膀胱神经受损。
