膀胱子宫瘘一例并文献复习

Vesicouterine Fistula:A Case Report and Literature Review

膀胱子宫瘘是一种十分少见的泌尿生殖瘘类型,主要表现为不同程度的尿失禁(阴道漏尿)、周期性血尿和闭经。膀胱子宫瘘可分为3种类型,Ⅰ型又被称为Youssef′s综合征,是膀胱子宫瘘最常见的一种类型。手术修补是主要的治疗方式。报道1例以Youssef′s综合征为典型表现的膀胱子宫瘘患者,经腹腔镜修补瘘口成功。术后随访4年,无血尿出现,月经周期规律,超声检查提示子宫下段切口及膀胱后壁破口愈合良好。

Vesicouterine fistula is a very rare type of urogenital fistula.The main symptoms are varying degrees of urineincontinence(vaginal leakage),periodic hematuria and amenorrhea.Vesicouterine fistula can be divided into three types.TypeⅠ,also known as Youssef′s syndrome,is the most common type of vesicouterine fistula.Surgical repair is the main treatment.This paper reports a case of vesicouterine fistula presenting with Youssef′s syndrome,which was successfully repaired through laparoscopic surgery.After 4 years of follow-up,there was no hematuria and the menstrual cycle remained regular.Ultrasound examination indicated that the incision of the lower uterine segment and the rupture of the posterior bladder wall healed well.