摘要
目的:探讨子宫全切术后合并膀胱阴道瘘的发病机理及防治方法。方法:对1986年1月至2006年1月收治的38例子宫全切术后遗留膀胱阴道瘘患者进行手术修补,并分析其发病机理、防治方法。结果:解剖层次不清,手术操作不当,是并发膀胱阴道瘘的主要原因。经手术修补后半年和1年随访,甲级愈合35例,乙级愈合3例,手术治愈率92.11%。结论:阴道残端高位膀胱瘘,采用经腹腹膜外膀胱外进行修补,是比较合理的手术途径。
Objective： To explore the etiopathogenesis, prevention and treatment of vesico-vaginal fistula caused by total hysterectomy. Method： Collecting 38 cases of vesico-vagninal fistula caused by total hysterectomy and performed repair operation, analyzing their etiopathogenesis, prevention and treatment. Result： The unclear anatomy and incorrect operative procedure are the main causes of vesico-vaginal fistula. 35 cases of first grade recovered; 3 cases of second grade recovered. In the eighteen-month fellow up, it is shown that the cure rate is 92.11%. Conclusion： It is a reasonable operation approach to do extra-periponeal and extra-bladder repair for high site of vesico-vaginal fistula.
出处
《大理学院学报（综合版）》
CAS
2010年第2期61-62,共2页
Journal of Dali University
关键词
子宫全切术
膀胱阴道瘘
预防
治疗
hysterectomy
vesico-vaginsl fistula
prevention
treatment
