18例维吾尔族膀胱阴道瘘临床分析

Clinical analysis of vesicovaginal fistula of the uighurs

目的:探讨维吾尔族膀胱阴道瘘的病因、诊断及治疗措施。方法:对2006年6月～2011年6月新疆自治区人民医院泌尿外科经美兰试验和膀胱镜检查确诊的18例维吾尔族膀胱阴道瘘患者的病历资料进行回顾性的临床分析。17例患者行瘘修补术,其中12例(70.59%)经腹修补,5例(29.41%)经阴道修补。1例患者行双侧输尿管经皮造瘘术。结果:18例患者中,16例1次修补成功,1例2次修补后成功。术后随访1至12个月无复发。结论:阴道分娩难产在维吾尔族膀胱阴道瘘患者中最为多见,根据患者全身情况、瘘道大小及位置选择合适的手术路径,术前充分准备,术后严格管理,大大提高手术成功率。

Objective： To investigate the cause diagnosis and treatment of the vesicovaginal fistula of the uighurs.Methods： The clinical data of 18 patients of the uighurs with the vesicovaginal fistula were studied for the analysis from June,2006 to June,2011.17 patients underwent fistula repair： abdominal approach to treatment of 12 cases（70.59%）,Vaginal approach to treatment of 5 cases（29.41%）.Results： 17 cases were cured by operation and no other complications occurred after 1 to 12 months＇ follow-up.Conclusion： Difficult labour was the main cause of vesicovaginal fistula of the uighurs.Fistula surgical treatment should be based on the patients＇ situ-ation.