医源性输尿管阴道瘘的早期诊断和治疗

Early Diagnosis and Management of Iatrogenic Uretero-vaginal Fistula

目的探讨医源性输尿管损伤的手术处理方法及时机。方法12例患者均在损伤后14d内施行输尿管膀胱吻合术,其中1例为膀胱肌瓣输尿管吻合术。结果12例患者,经手术修复后,阴道漏尿停止,患侧肾输尿管积水减轻或消失,肾功能恢复正常。结论对于医源性输尿管损伤所致的输尿管阴道瘘,早期诊断并及时手术修复可减轻患者痛苦,保护患肾功能。

Objective To investigate the diagnosis and treatment of uretero-vaginal fistula. Methods 12 patients with iatrogenic uretero-vaginal fistula were treated in 14 days after injury,ureteroneocystostomy were performed in 11 patients, Boari flap ureteroplasty were performed in 1 case, Results After operation, the ureterovaginal fistula was cure and hydronephrosis were alleviated or disappeared in 12 cases, Conclusions For patients with iatrogenic uretero-vaginal fistula,early diagnosis and repair can relieve patient＇s distress and achieve good therapeutic effects.