[一期手术治疗结肠膀胱瘘]
[Treatment of colo-vesical fistulas in one-stage operation].
作者信息
Tiguert R, Gheiler E L, Tefilli M V, Wood D P, Edson Pontes J
机构信息
Département d'Urologie, Wayne State University, Detroit, Michigan 48201, USA.
出版信息
Prog Urol. 1998 Sep;8(4):507-10.
OBJECTIVES
To evaluate the results of one-stage surgical treatment of colo-vesical fistulas.
MATERIAL AND METHODS
24 patients (16 males and 8 females) were treated for colo-vesical fistula by this technique. Sigmoid diverticulosis represented the commonest aetiology. In our study, cystoscopy was the most useful modality for the diagnosis of fistula.
RESULTS
No deaths and no recurrent fistulas were observed. However, one case of peritonitis secondary to dehiscence of the colo-colonic anastomosis in a patient suffering from Crohn's disease and two wall abscesses in diabetic patients were observed.
CONCLUSION
The morbidity and mortality rates after one-stage treatment of colo-vesical fistulas were low. This method not only improves the patient's quality of life, but is also less expensive, by avoiding a second hospitalisation and can be proposed as first-line treatment.
目的
评估结肠膀胱瘘一期手术治疗的效果。
材料与方法
24例患者（16例男性，8例女性）采用该技术治疗结肠膀胱瘘。乙状结肠憩室病是最常见的病因。在我们的研究中，膀胱镜检查是诊断瘘管最有用的方法。
结果
未观察到死亡病例和复发性瘘管。然而，观察到1例克罗恩病患者因结肠结肠吻合口裂开继发腹膜炎，以及2例糖尿病患者发生肠壁脓肿。
结论
结肠膀胱瘘一期治疗后的发病率和死亡率较低。该方法不仅提高了患者的生活质量，而且通过避免二次住院降低了费用，可作为一线治疗方法。
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