成年后先天性尿道阴道瘘1例  

One case of congenital urethrovaginal fistula in adulthood

作　　者：袁文凤 马多娜 李俊强 许鑫玥 唐瑶 YUAN Wenfeng;MA Duona;LI Junqiang;XU Xinyue;TANG Yao(Department of Obstetrics,Affiliated Hospital of Southwest Jiaotong University,Chengdu Third People's Hospital,Chengdu,610031,China;Department of Obstetrics,Sichuan Jinxin Women and Children's Hospital)

机构地区：[1]西南交通大学附属医院成都市第三人民医院产科,成都610031 [2]四川锦欣妇女儿童医院产科

出　　处：《临床泌尿外科杂志》2023年第1期78-80,共3页Journal of Clinical Urology

摘　　要：先天性尿道阴道瘘临床罕见,而成年后确诊的先天性尿道阴道瘘病例目前尚无报道。2020年6月西南交通大学附属医院延误诊治1例成年后先天性尿道阴道瘘。患者急诊行剖宫产术,反复留置导尿后未见尿液流出,均未考虑到该病可能,在阴道内扪及导尿管球囊后才得以确诊。误诊时间为14 h。择期行单纯尿瘘修补术,愈后良好。目前该病的临床资料有限,尚无关于该病相关的临床特征及诊治总结。现对该例患者临床资料进行分析报道,为该病的诊治提供临床经验及思路。Congenital urethrovaginal fistula(CUF) is rare in clinics, and the cases of CUF diagnosed in adulthood have not been reported. In June 2020, 1 case of CUF in adulthood was misdiagnosed at the Affiliated Hospital of Southwest Jiaotong University. The patient underwent an emergency cesarean section, and there was no urine outflow after repeated indwelling catheterization. The diagnosis of CUF was not considered, and the diagnosis was made after the urethral catheter balloon was palpated in the vagina. The misdiagnosis time was 14 hours. Elective simple urinary fistula repair was performed and with good prognosis. The clinical data for the disease is limited, so there is no summary of clinical features and treatment of this disease. The clinical data of this case of adult CUF were analyzed and reported, and the literature at domestic and abroad were reviewed to provide clinical experience and ideas for the diagnosis and treatment of this disease.

关 键 词：先天性尿道阴道瘘 临床特点 误诊 应对措施 

分 类 号：R695.1[医药卫生—泌尿科学]