输尿管阴道瘘的腔镜治疗(附1例报告并文献复习)  

Endourologic management of ureterovaginal fistula: report of 1 case and review of literature

作　　者：石瑛[1] 赵玉生 刘庆[3] 赵岩[1] 鞠文[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院泌尿外科,武汉430022 [2]钟祥市中医院泌尿外科 [3]湖北省新华医院泌尿外科

出　　处：《临床泌尿外科杂志》2012年第1期23-24,共2页Journal of Clinical Urology

摘　　要：目的:报告腔镜治疗输尿管阴道瘘的经验并探讨输尿管阴道瘘的病因、诊断和治疗方法。方法:回顾性分析我科收治的1例因腹腔镜下子宫切除术后出现输尿管阴道瘘患者的诊断和腔镜治疗过程。结果:患者输尿管镜检发现左输尿管下段距膀胱开口5cm处有狭窄,邻近可见一径约0.4cm瘘口,行钬激光狭窄内切开及留置双J管后阴道漏尿症状迅速缓解,3个月后复查尿瘘无复发。结论:腔镜治疗输尿管阴道瘘创伤小且效果良好,同时临床医生也要重视输尿管阴道瘘的预防和诊断。Objective：To report the resuh of endourology management of ureterovaginaI fistula and discuss the cause, diagnosis and treatment of ureterovaginal fistula. Method：A patient with ureterovaginal fistula caused by laparoscopic hysterectomy was admitted in our department, and the clinical data of diagnosis and endourologic treatment was analyzed retrospectively. Result：Ureteral stricture and a fistula about 0.4 cm were observed at the left ureter 5 cm from the orifice. The vaginal leakage was relieved soon after thc resection of uretcral stricture and indwellirig double J stent ureteroscopically. The patient kept dry three months later. Conclusion： Endourologic management of ureterovaginal fistula is secure and efficient, and the clinicians should he aware of the prevention and diagnosis of ureterovaginal fistula.

关 键 词：输尿管阴道瘘 输尿管镜 双J管 

分 类 号：R693[医药卫生—泌尿科学]