经腹腹腔镜下修补医源性膀胱阴道瘘的效果评价

Outcome of laparoscopic repair of iatrogenic vesicovaginal fistula

目的分析经腹腹腔镜下修补手术在治疗医源性膀胱阴道瘘中的临床效果。方法回顾性分析7例医源性膀胱阴道瘘患者采用经腹腹腔镜手术的治疗效果。7例患者均为妇科全子宫切除手术后引起,均在全麻下行经腹腹腔镜膀胱阴道瘘修补术,全部患者均随访不少于12个月。结果 7例患者均治愈,手术成功率100%,无其他并发症发生。结论经腹腹腔镜下治疗医源性膀胱阴道瘘较传统开放手术具有更显著优势,其手术视野大,解剖分离层次清晰,出血少,治疗效果确切,可最大限度地减少患者的创伤和痛苦。

Objective To evaluate the outcome of laparoscopic surgery in repairing iatrogenic vesicovaginal fistula. Methods Seven patients with iatrogenic vesicovaginal fistula after hysterectomy underwent laparoscopic repairing. All patients were followed-up for at least 12 months and the outcomes were retrospectively analyzed. Results All these 7 patients were cured with a surgical success rate of 100%. No surgical complications were observed. Conclusion Laparoscopic repair of vesicovaginal fistula has its advantages over traditional open operation, with enlarged operational fields, clear anatomic layers, lessen blood loss, minimized surgical trauma and satisfactory therapeutic effect.