CAJ | 학술논문

目的探讨膀胱阴道瘘的手术修补技巧.方法回顾性分析2002年1月至2013年12月膀胱阴道瘘37例患者的临床资料.经美蓝试验或膀胱镜检查确诊,全部患者于发现尿瘘后3～7个月行手术修补.结果 28例经腹修补,9例经阴道修补.经一次修补获得成功者33例,经二次修补后最终成功者4例.术后随访6～36个月无复发.结论分娩产程过长、经腹子宫切除手术导致膀胱损伤是膀胱阴道瘘主要原因,手术方式应根据患者瘘的性质来决定,手术时机宜选择局部炎症水肿控制后,提高产科质量及妇科操作技能是预防的关键.
목적 탐토방광음도루적수술수보기교.방법 회고성분석2002년1월지2013년12월방광음도루37례환자적림상자료.경미람시험혹방광경검사학진,전부환자우발현뇨루후3～7개월행수술수보.결과 28례경복수보,9례경음도수보.경일차수보획득성공자33례,경이차수보후최종성공자4례.술후수방6～36개월무복발.결론 분면산정과장、경복자궁절제수술도치방광손상시방광음도루주요원인,수술방식응근거환자루적성질래결정,수술시궤의선택국부염증수종공제후,제고산과질량급부과조작기능시예방적관건.
Objective To investigate the repair techniques of vesicovaginal fistula.Methods Thirty-seven patients with vesicovaginal fistula from January 2002 to December 2013 were analyzed.All cases were diagnosed by methylene blue test or cystoscopy,all cases were repaired in 3-7 months after the discovery of urinary fistula.Results Twenty-eight cases were repaired transabdominal,9 cases of transvaginal repair.After a successfulrepair in 33 cases,4 cases of the two patches after the final success,patients were followed up for 6 to 36 months without recurrence.Conclusions Long birth process,bladder injury caused by transabdominalhysterectomy operation is the main cause of vesicovaginal fistula,operation mode should be based on the nature of patients with fistula operation to decide,operation time is in the local inflammatory edema after control.Improving the quality of obstetric and gynecologic operation skills are the key to preventing this disease.