CAJ | 학술논문

目的探讨带蒂大网膜移植修补膀胱阴道瘘病人的临床疗效及围手术期的护理要点.方法对28例膀胱阴道瘘病人采用移位带蒂大网膜覆盖于膀胱和阴道瘘口修补后的创口之间,并通过改进围手术期的护理方法,有效地促进了瘘口愈合.结果所有病人手术均获成功并痊愈出院.结论带蒂大网膜移位修补膀胱阴道瘘,手术成功率高;加强围手术期的护理,尤其是重视术前心理疏导、局部清洁及术后妥善处理好各种引流管等,有助于减少膀胱阴道瘘病人围手术期并发症的发生.
목적 탐토대체대망막이식수보방광음도루병인적림상료효급위수술기적호리요점.방법 대28례방광음도루병인채용이위대체대망막복개우방광화음도루구수보후적창구지간,병통과개진위수술기적호리방법,유효지촉진료루구유합.결과 소유병인수술균획성공병전유출원.결론 대체대망막이위수보방광음도루,수술성공솔고;가강위수술기적호리,우기시중시술전심리소도、국부청길급술후타선처리호각충인류관등,유조우감소방광음도루병인위수술기병발증적발생.
Objective To investigate the therapeutic effects of which pedicled greater omentum displacement for the repair of vesicovaginal fistulas and perioperative care elements.Methods Twenty eight cases of vesicovaginal fistulas patients, with pedicled greater omentum displacement which covered the wound repaired between bladder and vesicovaginal fistula,and through improving the perioperative nursing, promoting fistula healing and increasing the cure rate.Results All the operations were successfully completed fully recouered.Conclusions The pedicled greater omentum displacement for the repair of vesicovaginal fistulas,which can improve the success rate of operation. Intensive perioperative care,with particular attention to preoperative psychological counseling after partial cleaning and properly handle the various drainage tubes,etc,which are help to reduce perioperative complications.