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中华腔镜泌尿外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (02) : 226 -230. doi: 10.3877/cma.j.issn.1674-3253.2026.02.017

病例报告

机器人手术治疗盲肠膀胱瘘一例并文献复习
陈智溢, 张恩溥, 戴平, 姜刚刚, 甘露, 黄谋, 张文娟, 杨江根, 黄桂晓()   
  1. 518000 广东,深圳市罗湖医院集团罗湖区人民医院(深圳大学第三附属医院)泌尿外科
  • 收稿日期:2025-01-22 出版日期:2026-04-01
  • 通信作者: 黄桂晓
  • 基金资助:
    广东省医学科学技术研究基金(B2021310); 深圳市医学研究专项资金项目(B2302054); 深圳市'医疗卫生三名工程’资助项目(SZSM202201024); 深圳市医学重点学科建设项目(SZXK021)

Robotic surgery for cecovesical fistula: a case report and literature review

Zhiyi Chen, Enpu Zhang, Ping Dai, Ganggang Jiang, Lu Gan, Mou Huang, Wenjuan Zhang, Jianggen Yang, Guixiao Huang()   

  1. Department of Urology, the Third Affiliated Hospital of Shenzhen University, Shenzhen Luohu Hospital Group Luohu People's Hospital, Shenzhen 518000, China
  • Received:2025-01-22 Published:2026-04-01
  • Corresponding author: Guixiao Huang
引用本文:

陈智溢, 张恩溥, 戴平, 姜刚刚, 甘露, 黄谋, 张文娟, 杨江根, 黄桂晓. 机器人手术治疗盲肠膀胱瘘一例并文献复习[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2026, 20(02): 226-230.

Zhiyi Chen, Enpu Zhang, Ping Dai, Ganggang Jiang, Lu Gan, Mou Huang, Wenjuan Zhang, Jianggen Yang, Guixiao Huang. Robotic surgery for cecovesical fistula: a case report and literature review[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2026, 20(02): 226-230.

目的

报道1例盲肠膀胱瘘的病例,总结疾病特点并进行文献复习。

方法

回顾性分析我院泌尿外科2024年8月1例67岁老年女性盲肠膀胱瘘患者的临床资料,并查阅相关文献,对该类疾病进行分析和总结。

结果

本例患者排尿时伴有粪渣样物,诉既往蛔虫病史,经尿道排出蛔虫。行达芬奇机器人辅助腹腔镜下部分膀胱和部分盲肠切除术,术后病理结果为(盲肠膀胱瘘管组织)黏膜慢性炎症。

结论

盲肠膀胱瘘是临床上相对罕见的疾病,需要结合患者症状体征和相关影像学资料综合评估确诊,治疗通常需要手术干预。

Objective

To report a case of cecovesical fistula, summarize its clinical features and review the literature.

Methods

The clinical data of a 67-year-old female patient with cecovesical fistula in the Department of Urology of our hospital in August 2024 were retrospectively analyzed. Relevant literature was consulted to analyze and summarize this type of disease.

Results

The patient presented with fecal-like material during urination and had a history of ascariasis, including expulsion of worms via the urethra. Robot-assisted laparoscopic partial bladder and partial cecal resection were conducted using the Da Vinci system. Postoperative pathology revealed chronic inflammation of the mucosa in the cecovesical fistula tissue.

Conclusion

Cecovesical fistula is a relatively rare clinical condition that often requires a comprehensive evaluation combining patient symptoms, signs, and relevant imaging data for diagnosis. Surgical intervention is usually necessary for treatment.

图1 盲肠膀胱瘘患者泌尿系CT影像和肠镜检查结果注:a和b分别为CT平扫与增强示盲肠部和膀胱粘连,c示膀胱右侧壁凸起;d示回盲部阑尾内口,e示阑尾内口右侧可疑憩室(瘘口可能),f示升结肠未见可疑瘘口;箭头示病灶
图2 盲肠膀胱瘘患者膀胱镜检查结果注:镜下见膀胱内粪渣及黄绿色絮状物(a),膀胱右侧室见一大小约5 mm瘘口,瘘口可见粪便附着(b)
图3 盲肠膀胱瘘患者经尿道经膀胱瘘口插管术联合逆行膀胱造影注:a示经瘘口置入导丝20 cm,床旁摄片示导丝位于膀胱外,b~c示经导管注入碘帕醇后,回盲部和升结肠显影
图4 术中切除的盲肠膀胱瘘管组织
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