摘要
目的 探讨腹腔镜下手术修补宫颈环形电切术(LEEP)术后膀胱阴道瘘(VVF)的疗效.方法 回顾性分析2016年7月至2017年12月8例LEEP术导致VVF后行腹腔镜修补手术的临床资料.结果 8例患者LEEP术后出现阴道漏尿时间平均(13.5±6.4)d,瘘口均为单发,位于三角区,瘘口最大径平均(2.4±0.6)cm.所有手术均顺利完成,平均手术时间(50.7±6.8)min,平均术中出血量(42.5±10.4)ml,术后引流管拔除时间均为2d,术后平均住院时间(4.3±0.5)d,患者拔管后6个月回访未见复发.结论 临床在开展LEEP治疗宫颈疾病过程中,应尽量避免对周围组织尤其是阴道前壁的热损伤.腹腔镜下修补VVF是微创、安全、有效的.
Objective To present cases of Vesicovaginal Fistula(VVF)after LEEP(Loop electosurgical excision procedure)treatment,and evaluate the effects of laparoscopic repair of fistula. Methods The clinical data of laparoscopic repair treatment on 8 cases of VVF resulting from LEEP from July 2016 to December 2017. Results The mean interval time of urine leakage after LEEP treatment were(13.5±6.4)d. All fistula were solitary and located on triangle area,with mean width(2.4±0.6)cm. All Laparoscopic surgeries were completed successfully,with mean operation time was(50.7±6.8)min and mean blood loss was(42.5±10.4)ml. The drain catheter removal time was 2d post-operation. The mean hospitalization time was(4.3±0.5)d. No recurrence was found after 6 months’ follow-up. Conclusion Cautions must be taken when treating cervix disease with LEEP and thermal damage to the anterior wall of vagina must be controlled. Laparoscopic repair for VVF is minimal invasive,safe and effective.
出处
《浙江临床医学》
2018年第11期1824-1825,共2页
Zhejiang Clinical Medical Journal
