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題 名 | Clinincal Characteristics and Management of Enterovesical Fistulas=腸道膀胱瘻管的臨床特徵與處理 |
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作 者 | 黃昭淵; 蒲永孝; 陳淳; 蔡崇璋; 賴明坤; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷 期 | 9:3 1998.09[民87.09] |
頁 次 | 頁138-143 |
分類號 | 416.27 |
關鍵詞 | 腸道膀胱瘻管; 子宮頸癌; 腸道憩室疾病; 醫源性傷害; Enterovesical fistula; Cervical cancer; Diverticular disease; Iatrogenic injury; |
語 文 | 英文(English) |
中文摘要 | 在1984年到1996年之間,有20位患有腸道膀胱癭管的病人在本院接受治療,將 其病歷做一回顧性的分析與統計,我們發現幾點與先前國外的報告不同;1)本系列的女性病 人較多;2)惡性腫瘤(包括直接侵犯及相關者)為引起□管的最主要原因;3)直腸為最常見 的部位。氣尿症,尿糞症及小便經由肛門排出,可視為本疾病的特殊性徵侯,因為只有三位 病患無上述症狀中的任何一種。膀胱鏡檢為最有價值的診斷工具,可達到百分之77.8的診 斷率。20位病患中,7位接受保守性治療,11位接受治癒性的外科治療,2位接受腸造□, 7位接受位守性治療中的3個病人,雖合併有尿路感染,但仍然規則在門診追蹤達17、28 又30個月。11位接受治癒性外科治療的病人中,8個接受單一階段術式,有6個病人術後 恢復良好(成功率為百分之75)。有1個病人接受二階段術式,2個病人接受三階段術式, 也都獲得成功的治療,但相對地需要較長的療程。2位接受腸造□的病人中,接受迴腸造□於 術兩個月死於敗血症,而接受結腸造□的病人在門診規則追蹤達36個月。我們建議在術前 情況允許的病人,儘量考慮單一階段術式,而儘管需要較長的療程,多階段術式也能獲得良 好的結果。 |
英文摘要 | The records of 20 patients with acquired enterovesical fistulas treated at the Department of Urology, National Taiwan University Hospital between Jan. 1984 and Jan. 1996 were reviewed. We noted some differences form the previous literature: 1) there were more female patients in our series (55%); 2) carcinoma (direct invasion or related) was the leading cause of the fistulas (70%); and 3) the most common enteric location was the rectum (35%). Pneumaturia, fecaluria, and urine per rectum were considered pathognomonic, and only 3 patients did not have any of these symptoms. Cystoscopy was the most valuable diagnostic tool and achieved a 77.8% diagnosis rate. Of the 20 patients, 7 received conservative management, 11 definitive surgical intervention, and 2 enteric diversion only. Three of the conservatively treated patients had complications with urinary tract infection and had regular follow-up for 17, 28, and 30 mo after diagnosis. Of the 11 patients operated on, 8 underwent a 1-stage procedure, and the postoperative course was uneventful for 6 patients (75% success rate). One patient underwent a 2-stage procedure, and 2 underwent a 3-stage procedure. They were all successfully treated, although prolonged treatment course was noted in this group. Two patients were treated with enteric diversion (ileostomy or colostomy). The patient with ileostomy died 2 mo postoperatively due to sepsis. But the other with colostomy was regularly followed-up for 36 mo. We recommend a 1-stage operation for patients in a good general operating condition and multisage procedures also achieve good results in spite of the prolonged treatment course. |
本系統中英文摘要資訊取自各篇刊載內容。