摘要
目的探讨腹腔镜下膀胱阴道瘘早期修补加大网膜覆盖的临床效果。方法回顾性分析2013年1月～2017年12月妇科手术后2个月内膀胱阴道瘘修补术13例资料。12例在腹腔镜下行瘘口严密缝合加大网膜创面覆盖,1例因大网膜粘连仅在腹腔镜下行瘘口严密缝合修补。结果手术时间105～197 min,(148. 2±24. 0) min;出血量80～120 ml,(103. 9±11. 6) ml。12例修补成功,1例仅行瘘口修补者手术失败,术后5天再次漏尿,3个月后二次修补手术成功。13例随访8～16个月,漏尿无复发,排尿正常。结论腹腔镜下早期修补膀胱阴道瘘可行,临床效果满意。
Objective To evaluate the clinical effect of early laparoscopic repair of vesicovaginal fistula and coverage with greater omentum.Methods A retrospective analysis was made on 13 patients who received vesicovaginal fistula repair within 2 months after gynecological surgery from January 2013 to December 2017.There were 12 cases of laparoscopic tight suture of fistula and coverage with greater omentum and 1 case of suture of fistula under laparoscopy,without coverage of wound due to omental adhesion.Results The operation time was 105-197 min (mean,148.2±24.0 min).The volume of blood loss was 80-120 ml (mean,103.9±11.6 ml).Twelve cases were successfully repaired.One case only underwent fistula repair failed,and urine leakage again 5 days after operation,and a second repair was successful 3 months later.There was no recurrence of urine leakage in the 13 patients during follow-ups for 8-16 months,with normal voiding.Conclusion Early repair of vesicovaginal fistula under laparoscope is feasible and satisfactory.
作者
刘慧丽
马亚欣
党群
王秋明
张荷
Liu Huili;Ma Yaxin;Dang Qun(Department of Gynecology,Henan Provincial People's Hospital of Hennan University,Zhengzhou 450003,China)
出处
《中国微创外科杂志》
CSCD
北大核心
2019年第5期465-467,共3页
Chinese Journal of Minimally Invasive Surgery
基金
河南省科技发展计划项目(182102310471)
河南省医学科技攻关计划项目(201602224)
关键词
膀胱阴道瘘
微创手术
大网膜
修补
Vesicovaginal fistula
Minimally invasive surgery
Greater omentum
Repair
