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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 experience of endoscopic ureteroscopic fistula treatment and explore the etiology, diagnosis and treatment of ureteroscopic fistula. Methods: A retrospective analysis of our department admitted to a case of laparoscopic diagnosis of ureteroscopic fistula after hysterectomy and endoscopic treatment. Results: Ureteroscopy revealed that the lower left ureter had a stenosis at a distance of 5 cm from the opening of the bladder, a diameter of about 0.4 cm was visible in the vicinity, the symptoms of vaginal leakage of urine were rapidly relieved after holmium laser stenosis and double J tube indwelling, and 3 Urine fistula review no recurrence after the month. Conclusion: Endoscopic treatment of ureteral vaginal fistula trauma and good effect, while clinicians should pay attention to the prevention and diagnosis of ureteroscopic fistula.