外科医源性尿瘘的诊治

为了重视医源性尿瘘的诊治和预防，我们报告了1964～1996年我院收治的24例外科医源性尿瘘．其中与妇产科有关的14例占56．5％，与普外科有关的4例占173％，与泌尿外科有关的6例占26％．包括输尿管阴道瘘、膀胱阴道瘘、膀胱子宫瘘、输尿管宫颈瘘、输尿管回肠瘘、输尿着皮肤瘘、尿道直肠瘘、输尿管腹腔瘘、膀胱腹壁瘘等各种情况。本文对医源性尿瘘的病因、临床症状和治疗进行了讨论．

THE DIAGNOSIS AND TREATMENT 0F SURGICAL IATR0GENIC URINARY FISTULA

In order to pay great attention to d1agnosis, treatment and prevention of iatrogenic urinary fistura, 24 patients with iatrogenic fistura were l)resented form l964 t0 1997. 0perati0n of Gynecol0gyand obstetrics contrlbuted to urinary fistula in 16 cases, (56. 5 % ), operation of general surgery in 4 cases(17. 3% ), operation of urology in 6 cases (26 % ). This sereis included uretero-vaginal festula, vasical-vaginal fistula, vasico- uterine fistula, uretero-cernvix- vaginal fistula, ureteroileal fistula, uretero-cutaneous flstula, rectourethral fistula, uretero- paritoneal cavity flstula, veslco-cutaneous fistula. Theiatrogenic etiology, clinlc symtoms, diagnosis and treatment of iatr0genic urinary flstula has been discussed.