不同手术方法对膀胱阴道瘘的疗效观察

Different surgical methods on the efficacy of vesico-vaginal fistula

目的：探讨膀胱阴道瘘的诊断与治疗。方法：回顾性分析2005年1月~2010年1月本院收治的26例膀胱阴道瘘患者的临床资料。结果：26例膀胱阴道瘘患者中,3例膀胱瘘孔直径约为0.5cm的患者,给予保守治疗,2个月后瘘孔闭合痊愈;15例采取阴道途径治疗,痊愈11例,4例未完全痊愈的患者采用带蒂膀胱瓣修补术后痊愈;8例直接经腹部采用带蒂膀胱瓣修补术治疗,8例均痊愈。结论：对膀胱阴道瘘患者明确诊断后积极进行治疗,选择合理的治疗方法和措施,经腹部采用带蒂膀胱瓣修补术治疗膀胱阴道瘘临床疗效更为确切,能更好的促进膀胱阴道瘘患者康复,减轻患者的痛苦。

Objective：To explore the diagnosis and treatment of vesico-vaginal fistula.Methods：Retrospective analysis the clinical data of 26 patients with vesico-vaginal fistula in our hospital from January of 2005 to January of 2010. Results：26 cases of vesico-vaginal fistula,3 cases of bladder fistula diameter of about 0.5 cm of the patients given conservative treatment,after 2 months the fistula closure healed.Vaginal approach to treatment of 15 cases,11 cases cured,4 cases improved, after, failure,abdominal approach to pedicled bladder flap repair recovery.8 cases of direct channels with abdominal pedicled bladder flap repair treatment,8 cases were cured.Conclusion：The diagnosis of bladder-vaginal fistula after active treatment,rational treatment methods and measures,abdominal pedicled bladder flap by means of treatment of vesico-vaginal fistula repair efficacy more accurately,the promotion of vesico-vaginal fistula recovery,reduce patient pain.