5例腹腔镜下膀胱阴道瘘修补术的临床体会

发布时间：2018-03-16 21:36

本文选题：膀胱阴道瘘　切入点：腹腔镜　出处：《中南大学学报(医学版)》2015年03期 　论文类型：期刊论文

【摘要】：目的:探讨腹腔镜下修补膀胱阴道瘘的诊断和治疗方法。方法:回顾性分析2013年5月至2014年7月中南大学湘雅医院收治的5例膀胱阴道瘘的资料,5例均行腹腔镜下膀胱阴道瘘修补术,对其手术方法进行分析总结,记录其手术时间、手术出血量及住院时间,并随访4~12个月。结果:5例患者经腹腔镜下膀胱阴道瘘修补术均获得成功,无1例中转开放手术。手术时间为70~120(平均97)min;术中出血量为40~70(平均54)m L;住院时间为4~8(平均5.8)d。随访4~12(平均7.6)个月,5例患者均未出现漏尿。结论:腹腔镜下修补膀胱阴道瘘有出血少、创伤小、病人恢复快以及成功率高的优点,是一种可行且安全有效的治疗膀胱阴道瘘的方法。
[Abstract]:Objective: To investigate the diagnosis and treatment of laparoscopic repair of vesicovaginal fistula. Methods: We retrospectively analyzed the data of 5 cases of vesicovaginal fistula from May 2013 to July 2014 in Xiangya Hospital of Central South University were treated, 5 cases underwent laparoscopic repair of vesicovaginal fistula, the surgical methods were analyzed and summarized, the operative time, bleeding volume and the duration of hospitalization, and followed up for 4~12 months. Results: 5 patients underwent laparoscopic repair of vesicovaginal fistula were successful, 1 cases were converted to open surgery. The operation time was 70~120 (average 97 min); intraoperative blood loss was 40~70 (average 54) m L; hospitalization time was 4~8 (average 5.8) follow up D. 4~12 (average 7.6 months), there was no leakage of urine in 5 patients. Conclusion: laparoscopic repair of vesicovaginal fistula with less bleeding, less trauma, quicker recovery and the success rate is high, is a safe and effective treatment for female bladder The method of fistula.

【作者单位】：中南大学湘雅医院泌尿外科;
【分类号】：R699.5

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