9例女性尿瘘的病因及治疗探讨  

The study of causes and treatment for 9 cases urinary fistula of female patients

作　　者：曲星珂[1] 侯树坤[1] 王晓峰[1] 顾永鹏[1] 徐涛[1] 

机构地区：[1]北京大学人民医院泌尿外科,100044

出　　处：《中国妇产科临床杂志》2002年第1期41-43,53,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的 探讨导致女性尿瘘的病因、最佳治疗时机和治疗方式。方法 回顾性分析了1980年至2001年我院收治的9例尿瘘患者病因、瘘期、诊断和治疗方法及效果。结果9例患者中,6例发生于妇科手术后,2例为分娩后,1例为骨盆骨折后。分别经腹腔或经阴道行修补术,随访1～3年无复发。结论女性尿瘘主要由妇科手术所致,其次分娩及骨盆骨折。保守治疗无效时,应积极的术前准备,在条件允许后再进行手术治疗。Objective To analyze the causes, the management time and method for female patientsa suffered from urinary fistula.Methods The etiology, fistula time , diagnosis and therapy means of nine patients admitted to our hospital for urinary fistulas were analyzed retrospectively from 1980 to 2001. Results The fistula occured after gynecological operation in six patients occured in 40-45 days, after delivery in two patients, and one patient suffered from fistula after pelvic fracture. Then they underwent trans - abdominal or vaginal surgical treatment , and no recurrance was found after following 1-3 years. Conclusions Urinary fistula in female patients are mainly caused by gynecological operations. Deli very and peivic fracture. If conservative therapy does not work, preoperative preparation should be done, and surgical treatment will be performed when the conditions are suitable.

关 键 词：尿瘘 手术 

分 类 号：R699[医药卫生—泌尿科学]