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題 名 | Aggressive Surgical Treatment is Justified towards Colovesical Fistulae of Benign Diseases and Post-Radiation Injury: A 10-Year Retrospective Review in 60 Patients=積極外科手術治療對良性疾患與放射傷害造成的大腸膀胱廔管是值得推薦的:十年間60案例的追蹤分析 |
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作 者 | 張皓程; 陳進勛; 唐瑞平; 張簡俊榮; 王正儀; 江支銘; 游耀東; 葉建裕; 謝寶秀; 蔡文司; 洪欣園; 游正府; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 23:3 2012.09[民101.09] |
頁 次 | 頁114-121 |
分類號 | 416.245 |
關鍵詞 | 大腸膀胱; 腸膀胱廔管; 憩室炎; 外科手術; 追蹤研究; Colovesical; Enterovesical; Fistula; Diverticulitis; Surgical intervention; Follow-up study; |
語 文 | 英文(English) |
中文摘要 | 背景 大腸膀胱廔管是一罕見肇因於發炎與腫瘤侵犯的併發症;肇因於此類病人手術介入的偏高罹病/死亡率,手術治療的適應症是被存疑的。材料與方法 於林口長庚醫院,十年間共60案例,其資料、病徵、處置、與預後追蹤接受回溯性分析。結果 共28位男性與32位女性,平均年紀60.5歲,被納入研究。其中87%以泌尿道症狀作表現(尿液中混糞便68%、尿液中混腸氣40%),而僅有15%是以腸胃道症狀作表現。疾病的成因包含憩室炎(n=18, 30%)、惡性腫瘤侵犯(n=16, 27%)、以及放射治療傷害(n=14, 23%)。22與9位患者接受腸道切除併吻合與不併吻合手術,27位僅接受腸道分流手術,2位接受局部修補手術。在平均66個月的追蹤,良性疾患與放射傷害造成的大腸膀胱廔管患者的存活顯著異於肇因於惡性腫瘤侵犯的患者(p <0.001),而良性疾患與放射傷害造成的大腸膀胱廔管患者的存活比較是無到達顯著差異(p=0.302)。良性疾患與放射傷害造成的大腸膀胱廔管患者的平均存活分別是89.0與69.6個月;其7年的的存活率分別是59.3%與53.6%。其手術/住院的死亡率在前二組,相比於肇因於惡性腫瘤侵犯的病人(25%),是比較低的(分別是6.7%與7.1%)。結論 本研究顯示低手術併發症與長期存活在良性疾患與放射傷害造成的大腸膀胱廔管是可預期的,其積極手術介入是具正當性的。 |
英文摘要 | Background. Colovesical fistula (CVF) is a rare complication of inflammation, located between colon and urinary bladder. Surgical intervention of CVF remained controversial. Patients and Methods. Over a 10-year period, consecutive 60 patients with CVF underwent surgical intervention in Chang-Gung Memorial Hospital. Their demographic data, clinical features, final diagnoses, treatment and surgical outcomes were analyzed. Results. The study recruited 28 males and 32 females, with a mean age of 60.5 years. Of them, 87% had urologic symptoms (fecaluria 68% and pneumoturia 40%), while intestinal symptoms were evident in only 15% of patients. The major causes of the disease included diverticular disease (n=18, 30%), malignancy invasion (n=16, 27%) and post-radiation injury (n=14, 23%). Resection with and without anastomosis was performed in 22 and 9 patients, respectively. Diversion was introduced in 27 patients, while local repair was done in 2 patients. During an averaged 66-month follow-up, survival of patients of post-radiation injury and benign etiologies was significantly different from that of malignancy invasion subgroup (p<0.001); on the contrary, the survival difference was insignificant between subgroups of benign etiologies and radiation injury (p=0.302). The mean survival period of benign disease and radiation injury group were 89.0 and 69.6 months, respectively. The 7-year survival rates of the two groups were 59.3% and 53.6%, respectively. The surgical/hospital mortality rates in these two groups were lower (6.7% and 7.1 %) than that of malignancy invasion (25%). Conclusion. This study showed the limited surgical mortality rate and long-term disease free survival in CVF patients with benign disease and post-radiation injury, so aggressive surgical intervention was recommended. |
本系統中英文摘要資訊取自各篇刊載內容。