经膀胱造瘘口引出双侧输尿管单J管处理宫颈癌放疗后膀胱阴道瘘的疗效分析

Analysis of the clinical effect of single J tube of bilateral ureter through the bladder stoma to treat vesicovaginal fistula after radiotherapy of cervical cancer

本文回顾性分析我院2015年1月至2021年10月收治的8例宫颈癌放疗后出现膀胱阴道瘘患者的临床资料, 均行局麻下膀胱造瘘, 膀胱镜下留置双侧输尿管单J管, 单J管经膀胱造瘘口引入造瘘袋内。术前患者均长期穿纸尿裤, 生活质量评分(QOL)为(5.3±0.5)分;术后使用尿垫, 0~2块/日, QOL为(2.5±0.5)分, 患者身体异味基本消失。对于各种原因不能手术或手术反复失败的膀胱阴道瘘, 采用经膀胱造瘘口引出双侧输尿管单J管治疗, 可通过较小的创伤, 提高患者的生存质量。

This article retrospectively analyzed the clinical data of 8 patients with vesicovaginal fistula after radiotherapy for cervical cancer admitted in our hospital from January 2015 to October 2021.All of them underwent cystostomy under local anesthesia.A single J tube of bilateral ureters was retained under cystoscope,and the single J tube was introduced into the fistula bag through the cystostomy opening.All patients wore diapers for a long time before operation,and used urine pads O-2 pieces/day after operation.QOL score was 5.3±0.5 points before operation,and 2.5±0.5 points after operation.The patients body odor basically disappeared.The vesicovaginal fistula can be repaired by surgery,but for patients who cannot be operated or failed repeatedly due to various reasons,a single J tube of bilateral ureters can be drawn out through the cystostomy opening,which can improve the quality of life of patients through minor trauma.