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中華民國泌尿科醫學會雜誌

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篇名 Colovesical Fistula
卷期 4:4
並列篇名 大腸膀胱廔管
作者 楊聯炎陳明村陳光國林登龍張延驊吳宏豪徐慧興邱文祥張心湜
頁次 1224-1226
關鍵字 bladder fistulacystoscopyTSCI
出刊日期 199312

中文摘要

大腸膀胱廔管源於惡性腫瘤、腸道發炎疾病、先天性異常或創傷性事件。本院自民國七十一年五月至八十一年五月共有十五例大腸膀胱廔管。大多數的廔管都因惡性腫瘤而起(73.3%),診斷準確率以膀胱鏡最佳(72.7%)。最常見的症狀為小便疼痛(66.7%),共有八位病人接受手術矯治,沒有病人因手術而死亡;目前為止也沒有復發性大腸膀胱廔管,只有一例手術中左側輸尿管口(ureteral orifice)受到傷害,經適當處理後,沒有留下後遺症。其餘七位病人因病危而沒有接受手術矯治,他們在診斷後不久,身體衰弱,死於其他疾病。只要沒有手的禁忌症,大腸膀胱廔管都應以積極的外科手術來矯治。

英文摘要

Colovesical fistulas develop because of malignant lesions, inflammatory disorders of the bowel, congenital anomaly or traumatic incident. From May 1982 to May 1992, 15 colovesical fistulas were included in this series. Most of these cases resulted from malignant lesions (73.3%). Cystoscopy was the most accurate diagnostic tool (72.7%). Dysuria was the most common symptom (66.7%). Eight patients resulted from malignant lesion (73.3%). Cystoscopy was the most accurate diagnostic tool(72.7%). Dysuria was the most common symptom (66.7%). Eight patients received surgical correction without mortality or recurrent fistula. Only one left ureteral orifice injury happened during operation and was managed properly without sequela. The remaining seven patients received no surgical correction because of their poor general condition. Surgical correction is recommended for colovesical fistula if there is no contraindication for operaton.

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