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膀胱(尿道)阴道瘘23例临床分析
引用本文:张卫兵,郑新民,李世文,杨志伟,朱保平,万少平. 膀胱(尿道)阴道瘘23例临床分析[J]. 武汉大学学报(医学版), 2008, 29(5)
作者姓名:张卫兵  郑新民  李世文  杨志伟  朱保平  万少平
作者单位:武汉大学中南医院泌尿外科,湖北,武汉,430071
摘    要:目的:探讨膀胱(尿道)阴道瘘的诊断、治疗和预防。方法:回顾分析23例膀胱阴道瘘患者的病因、临床表现、手术方法、治疗效果。结果:妇科手术所致膀胱阴道瘘占65.3%,临床表现为尿漏为主,早期手术不增加手术失败的风险,与晚期手术效果无差别。结论:妇科手术所致膀胱阴道瘘为最多见,膀胱(尿道)阴道瘘的手术时机和途径的选择需要因人(术者或患者)而异。

关 键 词:膀胱阴道瘘  尿道阴道瘘  瘘修补术

Surgery Treatments on Vesicovaginal or Ureterovaginal Fistula
ZHANG Weibing,ZHENG Xinmin,LI Shiwen,YANG Zhiwei,ZHU Baoping,WAN Shaoping. Surgery Treatments on Vesicovaginal or Ureterovaginal Fistula[J]. Medical Journal of Wuhan University, 2008, 29(5)
Authors:ZHANG Weibing  ZHENG Xinmin  LI Shiwen  YANG Zhiwei  ZHU Baoping  WAN Shaoping
Abstract:Objective: To review the outcomes of vesicovaginal(uretrovaginal) fistula after surgical treatments.Methods: The clinic data of 23 cases of vesicovaginal fistula were retrospectively analyzed from year 1995 to 2005.Results: The gynecological operations were the major factor of vesicovaginal fistula,the rate of was about 65.3%.There were no obvious difference therapeatic efficacy between early and late operation.Conclusion: Opportunity of vesicovaginal(uneterovayinal) fistula surgical treatment should be based on the patients' situation.
Keywords:Vesicovaginal Fistula  Urethrovaginal Fistula  Fistula Repair
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