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目的 总结修补尿瘘的经验 ,介绍实用可行的方法和相关处理。方法 收集近 10年来作尿瘘修补的 6 3个病例的资料 ,其中膀胱粘膜法术后发生尿瘘 2 7例 ,游离包皮内板法术后发生 36例。单个瘘 5 4例 ,多个瘘 9例。小尿瘘 5 5例 ,大瘘 (尿瘘长轴大于 0 .4cm) 8例。分别采用内瘘口结扎法 ,内瘘口内翻法 ,连续内翻法及一层缝合法进行修补。有假阴道的宜先切除。补瘘后引流膀胱尿10d ,拆除缝线。结果 一次修补成功率为 85 .7% (5 4 / 6 3)。结论 尿瘘发生后半年以上 ,要求内外层上皮分隔开并彼此对齐的一层或二层的尿瘘修补法 ,并作膀胱造瘘或经尿道支架管插管引流膀胱尿 ,手术成功率高
Objective To summarize the experience of repairing urinary fistula and introduce practical and feasible methods and related treatment. Methods The data of 63 cases of urinary fistula repaired in the recent 10 years were collected. Among them, 27 cases of urinary fistula occurred after bladder mucosa surgery and 36 cases occurred after free foreskin internal plate surgery. 54 cases of single fistula, multiple fistula in 9 cases. Fifty-five cases of small urinary fistula, large fistula (urinary fistula greater than 0. 4cm) in 8 cases. Fistula ligation were used, fistula fistula, continuous inversion method and a layer of suture repair method. Fake vagina should be removed. After fistula drainage of bladder urine 10d, remove the suture. Results The success rate of primary repair was 85.7% (54/6 3). Conclusion Urine fistula occurred more than six months later, requiring the inner and outer epithelium separated and aligned with one or two layers of urinary fistula repair method, and for bladder fistula or transurethral stent tube drainage of bladder urine, the high success rate of surgery