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膀胱阴道瘘多数由于产科原因所造成。目前修补手术一般仍以阴道途径为主,但在一些多次修补失败的病例,或瘘孔较高、过大等情况时经膀胱修补常有一定优点。为了提高手术的成功率,不少人应用各种组织如大网膜,胎盘片,球海棉体脂肪垫等,作为衬垫置于膀胱与阴道缝合口之间。我院应用带蒂的腹膜瓣为衬垫修补膀胱阴道瘘12例都取得一期成功,这一方法国内尚未见报道。手术方法取耻骨上正中切口,暴露膀胱,将膀胱周围之腹膜游离,在膀胱顶部高位切开膀胱,双侧留置输尿管导管以避免损伤,切开膀胱壁直达瘘孔处,将瘘孔周围组织充分剥
Bladder vaginal fistula due to obstetric reasons. The current repair surgery is still mainly vaginal approach, but in some cases failed to repair multiple times, or fistula hole is too large, often have some advantages when repaired by the bladder. In order to improve the success rate of surgery, many people use a variety of organizations such as the omentum, placenta, sponge pad, etc., as a cushion placed between the bladder and vaginal suture. In our hospital, pedicle peritoneal flap was used to repair vesicovaginal fistula in 12 cases, all of which achieved a success. This method has not been reported yet in our country. Surgical approach to take the middle of the suprapubic incision to expose the bladder, the peritoneum around the bladder free, high bladder incision at the top of the bladder, bilateral ureter catheter indwelling to avoid injury, cut the bladder wall directly to the fistula, the fistula around the tissue peel