CAJ | 학술논문

目的评价应用输尿管镜放置双J管早期治疗输尿管阴道瘘的临床效果.方法回顾性分析2002年～2008年我院采用输尿管镜下放置双J管早期治疗28例输尿管阴道瘘的临床资料.结果 28例患者采用早期输尿管镜下放置双J管,22例患者阴道流尿在术后当天即明显减少,术后有21例(75%)获得治愈,其中有4例先后2次行输尿管镜下放置双J管术后获得治愈,7例输尿管镜下放置双J管术失败后改为输尿管膀胱抗反流再植术获得治愈,随访6～33个月(平均10.1±6.4月),所有患者均无阴道流尿.结论应用输尿管镜放置双J管术早期治疗输尿管阴道瘘可作为输尿管阴道瘘的首选治疗方式,失败后才考虑其他的术式.
목적 평개응용수뇨관경방치쌍J관조기치료수뇨관음도루적림상효과.방법 회고성분석2002년～2008년아원채용수뇨관경하방치쌍J관조기치료28례수뇨관음도루적림상자료.결과 28례환자채용조기수뇨관경하방치쌍J관,22례환자음도류뇨재술후당천즉명현감소,술후유21례(75%)획득치유,기중유4례선후2차행수뇨관경하방치쌍J관술후획득치유,7례수뇨관경하방치쌍J관술실패후개위수뇨관방광항반류재식술획득치유,수방6～33개월(평균10.1±6.4월),소유환자균무음도류뇨.결론 응용수뇨관경방치쌍J관술조기치료수뇨관음도루가작위수뇨관음도루적수선치료방식,실패후재고필기타적술식.
Objective To evaluate the clinical effect of placing double J stent using a ureteroscope in early managing ureterovaginal fistula.Methods Twenty-eight patients cases with ureterovaginal fistula from 2002 to 2008 were treated early with placing double J stent using a ureteroscope and the clinical data were reviewed.Results Twenty-two of 28 cases were treated and double J stent was placed in them by a uretero-scope and 75% (21/28)of cases were cured.Four of 21 cases were treated twice by a ureteroscope and were cured finally.7 cases with failure ureterovaginal treatment underwent ureterocystostomy and were cured.The follow-up from 6 months to 33 months (average 10.1±6.4 months)showed that all of the 28 cases had been cured and had no urinary fistula.Conclusion Placing double J stent using a ureteroscope is the first choice of operative procedure for the early treatment of ureterovaginal fistula.