- 期刊
膀胱異物—4個病例報告
Foreign Body in the Urinary Bladder
摘要
膀胱異物並不罕見，但在文獻上的報告卻不多，膀胱異物的發生除了少數是由醫學上尤其是手術不慎所引起外，大多數是由病人本身所置入，而這些患者大多患有自虐狂、性變態或戀物症等不正常精神疾病。雖然膀胱異物並不會造成患者的死亡，但是卻會引起嚴重併發症如膀胱炎、結石等，甚至有些異物還會由膀胱較弱的地方穿出膀胱至直腸或腹腔內，引起直腸膿腫或急性腹症。本篇報告4例膀胱異物的患者，其中3例是由患者自行植入，這些異物包括口香糖、玻璃棒或黃瓜，另外1例是因醫護人員在作尿道擴張時不慎把絲狀導尿管留置在膀胱內。這些患者大多是因為膀胱炎而住院要求進一步治療，我們認為除了有下泌尿道阻塞性疾病外，大多數膀胱異物皆可由內視鏡取出，而預防患者再次置入膀胱異物最佳方法是在追踪患者時須要精神治療及醫學常識教育。同時對尿路感染治療前以及治療後都要有詳細的檢查及追踪。
關鍵字
無資料並列摘要
Foreign bodies in the urinary bladder are not uncommon, however, only a few cases have been reported in recent literature. This is not a fatal disease, however, it may lead to serious complications such as chronic cystitis, urolithiasis, or rectal abscess formation. These foreign bodies were inserted for autoerotic or unknown reasons by patients. In this paper we report 4 cases of foreign bodies in the urinary bladder. They include a cucumber, glass tube, chewing gum, and filliform catheter. We found that most of the foreign bodies in the urinary bladder can be removed endoscopically, but if the patients also had a lower urinary tract obstructive disease, removal necessitated surgical procedures. All of the four cases had no urological complications for at least one year after treatment.
延伸閱讀
- Juan, Y. S., Chen, C. K., Jang, M. Y., Shen, J. T., Wang, C. J., Chou, Y. H., & Huang, C. H. (2004). 膀胱異物結石：病例報告. The Kaohsiung Journal of Medical Sciences, 20(2), 90-92. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200402-20-2-90-92-a
- Huang, Y. H., Kuo, J. Y., Chen, K. K., Chiu, A. W., & Chang, L. S. (2005). 膀胱內異物造成雙側賢水腫－病例報告. 臺灣泌尿科醫學會雜誌, 16(1), 21-24. https://www.airitilibrary.com/Article/Detail?DocID=10163220-200503-16-1-21-24-a
- Hsin, S. C., Hsieh, M. C., Lin, H. Y., Hsia, P. J., & Shin, S. J. (2003). 產氣性膀胱炎－個案報告. The Kaohsiung Journal of Medical Sciences, 19(3), 132-135. https://doi.org/10.6452/KJMS.200303.0132
- Chen, W. M., Yang, C. R., Cheng, C. L., Ou, Y. C., & Ho, H. C. (2003). 膀胱子宮內膜異位症：病例報告. 臺灣泌尿科醫學會雜誌, 14(4), 183-186. https://www.airitilibrary.com/Article/Detail?DocID=10163220-200312-14-4-183-186-a
- Bangash, K., Alam, A., & Anwar, K. (2013). An Unusual and Missed Foreign Body in the Urinary Bladder. Journal of pioneering medical sciences, 3(4), 191-193. https://www.airitilibrary.com/Article/Detail?DocID=P20160812001-201312-201608150018-201608150018-191-193