Larsen A, Bjerklund Johansen T E, Solheim B M, Urnes T
Department of Surgery, Telemark Central Hospital, Porsgrunn, Norway.
Eur Urol. 1996;29(3):318-21. doi: 10.1159/000473768.
The records of 24 patients with enterovesical fistula treated at the urology sections of Telemark and Vestfold Central Hospitals are presented. Most fistulas were due to diverticulitis or a malignant tumor. The part of the intestine most frequently affected was the sigmoid colon in 14 patients, the rectum in 3, the cecum in 2 and the small intestine in 2. Of the 21 patients operated on, 12 underwent a one-stage procedure with resection of the fistula and primary anastomosis of the intestine. The postoperative course was uneventful for 16 patients. Recurrence of the fistula occurred in 1 patient. Three patients were conservatively treated. We recommend a one-stage operation for patients in a good general operating condition, with a well-organized fistula and no systemic infection.
本文呈现了泰勒马克和西福尔中央医院泌尿外科收治的24例肠膀胱瘘患者的病历。大多数瘘管是由憩室炎或恶性肿瘤引起的。肠道最常受累的部位是14例患者的乙状结肠、3例患者的直肠、2例患者的盲肠和2例患者的小肠。在接受手术的21例患者中，12例接受了一期手术，切除瘘管并进行肠道一期吻合。16例患者术后恢复顺利。1例患者出现瘘管复发。3例患者接受了保守治疗。我们建议，对于一般手术条件良好、瘘管结构清晰且无全身感染的患者，采用一期手术。
