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中华结直肠疾病电子杂志 ›› 2025, Vol. 14 ›› Issue (03) : 281 -283. doi: 10.3877/cma.j.issn.2095-3224.2025.03.011

病例报道

直肠癌腹会阴联合切除(Miles)术后迟发性尿道瘘一例
夏长河1, 胡旭华2, 郑晓红3, 刘芳4, 王亚轩5, 王贵英2,6,()   
  1. 1. 066000 秦皇岛市第一医院肛肠外科
    2. 050000 石家庄,河北医科大学第四医院外二科
    3. 066000 秦皇岛市第一医院医务科
    4. 066000 秦皇岛市第一医院体检中心
    5. 050000 石家庄,河北医科大学第二医院泌尿外科
    6. 050000 石家庄,河北医科大学第二医院普通外科
  • 收稿日期:2025-01-17 出版日期:2025-06-25
  • 通信作者: 王贵英
  • 基金资助:
    2025年度河北省医学科学研究课题(No. 20251261)

A case of delayed urethral fistula following abdominoperineal resection (Miles) for rectal cancer

Changhe Xia1, Xuhua Hu2, Xiaohong Zheng3, Fang Liu4, Yaxuan Wang5, Guiying Wang2,6,()   

  1. 1. Department of Anorectal Surgery,the First Hospital of Qinhuangdao,Qinhuangdao 066000,China
    2. The Second Department of Surgery,the Fourth Hospital of Hebei Medical University,Shijiazhuang 050000,China
    3. Department of Medical Administration,the First Hospital of Qinhuangdao,Qinhuangdao 066000,China
    4. Physical Examination Center,the First Hospital of Qinhuangdao,Qinhuangdao 066000,China
    5. Department of Urology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China
    6. Department of General Surgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China
  • Received:2025-01-17 Published:2025-06-25
  • Corresponding author: Guiying Wang
引用本文:

夏长河, 胡旭华, 郑晓红, 刘芳, 王亚轩, 王贵英. 直肠癌腹会阴联合切除(Miles)术后迟发性尿道瘘一例[J/OL]. 中华结直肠疾病电子杂志, 2025, 14(03): 281-283.

Changhe Xia, Xuhua Hu, Xiaohong Zheng, Fang Liu, Yaxuan Wang, Guiying Wang. A case of delayed urethral fistula following abdominoperineal resection (Miles) for rectal cancer[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2025, 14(03): 281-283.

直肠癌腹会阴联合切除(Miles)术后迟发性尿道瘘是一种罕见而严重的并发症。本文报道了1例cT3N2M0的直肠癌患者术前新辅助放化疗并行Miles术后迟发性尿道瘘的情况。探讨Miles术后迟发性尿道瘘的演变过程和转归。旨在为临床Miles术后迟发性尿道瘘的预防治疗提供借鉴。

Delayed urethral fistula after combined abdominoperineal resection (Miles) of rectal cancer is a rare and serious complication. This paper reports a case of delayed urethral fistula in a cT3N2M0 rectal cancer patient with preoperative neoadjuvant radiotherapy and chemotherapy combined with Miles. The evolution and outcome of delayed urethral fistula after Miles were discussed. The aim is to provide reference for the prevention and treatment of delayed urethral fistula after Miles surgery.

图1 盆腔CT直肠术后改变,骶前积液较前增加,盆腔渗出及积液较前减少。膀胱壁及周围异常改变,考虑炎症病变可能。箭头所指为尿道。1A:平扫,1B:动脉期,1C:静脉期;1D:延迟期
图2 患者病例发展的关键时间的流程图
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