论文部分内容阅读
膀胱阴道瘘影响生活和工作,为妇女最痛苦疾病之一,兹就天津医学院附属第一中心医院泌尿科自1955年4月至1959年12月所治疗的8例,作一简要的总结。病因:膀胱阴道瘘的主要病因有三:(1)在难产的病例,胎头及恥骨下缘长时期挤压膀胱壁,导致坏死,而形成尿瘘。偶因分娩急遽或使用产钳撕破膀胱壁。旧社会农村妇女如遇难产,没有适当医疗机会,旧式产婆常用金属钩子来助产,膀胱易被钩破,造成膀胱阴道瘘。(2)在艰难的妇科手术中,膀胱壁可误被切开或撕破。除非当时发现损伤随即修复,术后即有漏尿现象。如膀胱在手术中被止血钳夹伤或被缝线结扎.漏尿出现较晚。(3)晚期膀胱癌或子宫颈可并发膀胱阴道瘘,尿瘘亦可能是镭疗的结果。
Bladder vaginal fistula affect life and work, is one of the most painful diseases in women. A summary is made on 8 cases of urology from the First Central Hospital Affiliated to Tianjin Medical College from April 1955 to December 1959. Etiology: The main causes of vesico-vaginal fistula are: (1) in the case of dystocia, fetal head and the lower edge of the pubis squeeze the bladder wall for a long period of time, leading to necrosis, and the formation of fistula. Occasionally due to childbirth or use forceps to tear the bladder wall. Old women in rural areas in case of dystocia, there is no appropriate medical opportunity, the old midwife commonly used metal hook to midwifery, bladder easily hooked, resulting in vesico-vaginal fistula. (2) In difficult gynecological surgery, the bladder wall can be accidentally cut or torn. Unless it was found that the injury was repaired immediately after the leakage of urine that phenomenon. Such as the bladder during surgery hemostatic clamp or suture ligation. Late leakage appeared. (3) advanced bladder cancer or cervix may be complicated by vesicovaginal fistula, urinary fistula may also be the result of radium therapy.