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目的探讨经腹腔途径在腹腔镜下治疗妇科术后并发膀胱阴道瘘的效果。方法收集8例妇科盆腔手术后并发膀胱阴道瘘的患者,经腹腔途径在腹腔镜下行膀胱阴道瘘修补术,观察治疗效果。结果 7例手术效果满意,术后15 d拔除导尿管后顺利出院;1例因术后继续盆腔放疗手术失败,经再次手术获得成功。8例患者术后随访6个月均未出现漏尿。结论经腹腔途径治疗膀胱阴道瘘手术视野清晰,易操作,损伤小,恢复快,治愈率高,是一种值得推广的术式。
Objective To investigate the effect of laparoscopic transabdominal approach for the treatment of vesicovaginal fistula after gynecological surgery. Methods Eight patients with vesicovaginal fistula after gynecological pelvic surgery were collected. Laparoscopic transvaginal laparoscopic transvaginal fistula repair was performed by intraperitoneal injection to observe the therapeutic effect. Results The results of the operation were satisfactory in 7 cases. The catheter was discharged 15 days after the catheter was removed. One case was unsuccessful due to the failure of pelvic radiotherapy. 8 patients were followed up for 6 months did not leak urine. Conclusion The transvaginal approach for the treatment of vesicovaginal fistula has a clear field of vision, easy operation, little injury, quick recovery and high cure rate. It is a technique that is worth popularizing.