球海绵体肌及外阴皮瓣移植在复杂尿瘘修补术中的应用

Bulbocavernosus muscle flap and vulvar flap in the repair of complicated urinary fistula

尿瘘可分为简单尿瘘与复杂尿瘘,复杂尿瘘治疗困难,手术失败率高,是尿瘘修补术之难点。临床实践证明,利用组织移植瓣可提高复杂尿瘘的治愈率,常用的组织移植瓣包括股薄肌、球海绵体肌、外阴皮瓣等。该文结合国内外文献资料和作者临床实践,重点阐述了球海绵体肌和外阴皮瓣移植修补复杂尿瘘术的方法及手术要点。

Urinary fistula can be divided into two types： simple and complex.Complicated urinary fistula that is difficult to be treated，has a high surgical failure rate.It is a troublesome in the repair of complicated fistulas.Clinical practice demonstrates that cure rate can be improved by taking advantage of tissue flaps,which usually consists of gracilis muscle,bulbocavernosus muscle flaps and vulvar flaps.This article will focus on the repair of complicated fistula used bulbocavernosus muscle and vulvar flaps.