| 克罗恩病肠膀胱瘘病人的诊断和治疗(附4例报告) |
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| 引用本文： | 薛松,魏磊,程文,葛京平.克罗恩病肠膀胱瘘病人的诊断和治疗(附4例报告)[J].肠外与肠内营养,2012,19(4):220-222. |
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| 作者姓名： | 薛松 魏磊 程文 葛京平 |
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| 作者单位： | 南京军区南京总医院泌尿外科,江苏南京,210002 |
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| 摘 要： | 目的:探讨克罗恩病(CD)肠膀胱瘘的诊断治疗方法,提高对CD肠膀胱瘘诊治的认识。方法:报道4例CD肠膀胱瘘的诊治过程及临床资料并复习相关文献。结果:术后随访6个月至3年,治疗效果良好。结论:CD膀胱瘘临床少见,腹部症状不明显时易引起误诊。手术治疗为CD膀胱瘘的首选,但不能忽视其围手术期的营养支持治疗。
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| 关 键 词： | 克罗恩病 回肠膀胱瘘 营养支持治疗 |
Diagnosis and treatment of enterovesical fistula in Crohn's disease |
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| XUE Song
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WEI Lei
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CHENG Wen
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GE Jing-ping.Diagnosis and treatment of enterovesical fistula in Crohn's disease[J].Parenteral & Enteral Nutrition,2012,19(4):220-222. |
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| Authors: | XUE Song WEI Lei CHENG Wen GE Jing-ping |
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| Institution: | (Department of Urology,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 210002,Jiangsu,China) |
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| Abstract: | Objective: To investigate the clinical diagnosis and treatment of enterovesical fistula in Crohn’s disease.Methods: Four cases were reported,the etiology,diagnosis and treatment were analyzed,and the related literatures were reviewed.Results: All the 4 cases were treated with operation.There were no serious postoperative complications.Conclusion: Enterovesical fistula in Crohn’s disease is rare in clinical course and is easily misdiagnosed when abdominal symptoms are not typical.Surgical resection is the main method for treatment,and perioperative nutritional support should not be ignored. |
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| Keywords: | Crohn’s disease Enterovesical fistula Perioperative nutritional support |
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