摘要
目的:比较经阴道修补术与经腹部带蒂膀胱瓣修补术治疗妇产科手术后膀胱阴道瘘的疗效。方法:回顾性分析2014年1月至2019年1月湛江中心人民医院收治的膀胱阴道瘘患者32例的临床资料,根据术式不同分为两组,每组各16例。观察组采用经腹部带蒂膀胱瓣修补术,对照组采用经阴道途径修补术,比较两组切除瘘口时间、手术时间、手术出血量、缝合瘘口时间、住院时间及并发症情况,并比较两组临床疗效。结果:观察组总有效率为93.75%,高于对照组的68.75%(P<0.05)。观察组患者切除瘘口时间、手术时间、缝合瘘口时间及住院时间均短于对照组,手术出血量少于对照组(均P<0.05)。结论:经腹部带蒂膀胱瓣修补术治疗妇科手术后膀胱阴道瘘疗效较好,安全性高。
Objective:To investigate the treatment efficacy of transvaginal repair vs transabdominal pedicled bladder flap repair for cysto-vaginal fistula.Methods:The clinical data of 32 patients with cysto-vaginal fistula admitted to Zhanjiang Central People’s Hospital between January 2014 and January 2019 were retrospectively analyzed.The subjects were divided into two groups according to different surgical procedures(n=16 each).The study group underwent transabdominal pedicled bladder flap repair,and the control group underwent transvaginal repair.The two groups were compared for time to removal of the fistula,operation time,blood loss at surgery,time needed for suture closure of fistula,length of hospital stay and complications,as well as the clinical efficacy.Results:The total effective rate in the study group was 93.75%,which was higher than the 68.75%in the control group(P<0.05).The study group experienced shorter time to removal of the fistula,operation time,time needed for suture closure of fistula,length of hospital stay,and less blood loss at surgery,compared with the control group(allP<0.05).Conclusion:Transabdominal pedicled bladder flap repair for cysto-vaginal fistula following gynecological surgery is associated with better efficacy and higher patient safety.
作者
杨文静
吴小容
许智英
Yang Wenjing;Wu Xiaorong;Xu Zhiying(Zhanjiang Central People’s Hospital,Zhanjiang,Guangdong 524037,China)
出处
《广州医科大学学报》
2019年第4期72-74,共3页
Academic Journal of Guangzhou Medical University
关键词
膀胱阴道瘘
经腹部带蒂膀胱瓣修补术
经阴道修补术
妇科手术
cysto-vaginal fistula
transabdominal pedicled bladder flap repair
transvaginal repair
gynecological surgery
