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目的 :探讨输尿管阴道瘘手术治疗的时机和方法。方法 :19例输尿管阴道瘘患者中 ,早期手术治疗 9例 ,延期手术 10例。早期手术中采用经腹腔入路、术中保护输尿管血供及大网膜包裹填塞的手术方法。结果 :19例均一次手术成功。早期手术组两周内肾功能恢复正常 ;延期组术后两周 4例有肾积水。结论 :早期手术修复输尿管阴道瘘优于延期手术。
Objective: To investigate the timing and method of ureteroscopic fistula surgery. Methods: Nineteen patients with ureteric fistula were treated by early surgery and delayed surgery by 10 patients. Early surgery by transperitoneal approach, intraoperative protection of ureteral blood supply and omentum wrapped stuffing method. Results: All the 19 cases were operated successfully. Renal function returned to normal within two weeks in the early surgery group; hydronephrosis was found in 4 patients in the postoperative two weeks postoperatively. Conclusion: Early surgical repair of ureterovascular fistula is better than delayed surgery.