[1]李文标 湛海伦 周祥福 杨飞 孙其鹏 刘柏隆.腹腔镜下腹股沟疝修补术后网片侵蚀膀胱临床分析[J].中华腔镜泌尿外科杂志(电子版),2014,(01):37-41.
　Li Wenbiao,Zhan Hailun,Zhou Xiangfu,et al.Mesh erosion into bladder following laparoscopic inguinal hernia repair: clinical management and 2 cases report[J].,2014,(01):37-41.
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腹腔镜下腹股沟疝修补术后网片侵蚀膀胱临床分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2014年01期
页码:
37-41
栏目:
临床研究
出版日期:
2014-02-25

文章信息/Info

Title:
Mesh erosion into bladder following laparoscopic inguinal hernia repair: clinical management and 2 cases report
作者:
李文标 湛海伦 周祥福 杨飞 孙其鹏 刘柏隆
510630广州，中山大学附属第三医院泌尿外科
Author(s):
Li Wenbiao;  Zhan Hailun;  Zhou Xiangfu;  Yang Fei;  Sun Qipeng;  Liu Bolong.
Department of Urology, the Third Affiliated Hospital of SUN Yat-sen University, Guangzhou 510630, China
关键词:
网片; 膀胱; 侵蚀; 腹股沟疝修补术
摘要:
目的 探讨腹腔镜下腹股沟疝修补术后网片移位侵蚀膀胱的临床表现与鉴别诊断，提高对网片侵蚀膀胱的临床特点及诊治的认识。方法 我科收治腹腔镜下腹股沟疝修补术后网片侵蚀膀胱男性患者 2例，主诉为无痛性肉眼血尿，入院 CT分别提示盆腔恶性肿瘤及膀胱壁炎性肉芽肿改变。2例行膀胱镜检见向膀胱内突出的肿物和网片，转开放手术见网片侵蚀膀胱及周围组织，切除网片及肿物，送活检。结合相关文献，复习分析腹股沟斜疝修补术后网片侵蚀膀胱的病因、临床表现、鉴别诊断及治疗。结果 2例患者手术顺利。术后病理诊断慢性肉芽肿性炎，膀胱造影无膀胱瘘。2例分别随访 1年和 8个月，未见血尿、肿物复发。结论 腹股沟疝修补术后网片侵蚀膀胱罕见，临床上表现为血尿、反复泌尿系感染、膀胱瘘、盆腔或膀胱肿物等症状，诊治较为复杂，术前难与膀胱或盆腔肿瘤鉴别，依据病史、临床表现和影像学资料可以做出初步诊断，确诊依靠膀胱镜检和活检，手术治疗方式取决于网片侵蚀膀胱的程度。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：广东省科技计划项目（ 2011B031800077）
通讯作者：周祥福，Email：xiangfuzhou@126.com
更新日期/Last Update: 2014-02-25