[1]宋震,李约延,张成静,等.膀胱镜辅助腹腔镜下修补膀胱阴道瘘[J].中华腔镜泌尿外科杂志(电子版),2017,11(02):109-112.[doi:10.3877/cma.j.issn.1674-3253.2017.02.008 ]
　Song Zhen,Li Yueyan,Zhang Chengjing,et al.Clinic study of laparoscopic repair assisted by cystoscopy in vesicovaginal fistula[J].,2017,11(02):109-112.[doi:10.3877/cma.j.issn.1674-3253.2017.02.008 ]
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膀胱镜辅助腹腔镜下修补膀胱阴道瘘()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年02期
页码:
109-112
栏目:
临床研究
出版日期:
2017-04-30

文章信息/Info

Title:
Clinic study of laparoscopic repair assisted by cystoscopy in vesicovaginal fistula
作者:
宋震; 李约延; 张成静; 朱海涛; 陈仁富; 陈家存; 薛松
221000徐州医科大学附属医院泌尿外科
Author(s):
Song Zhen;  Li Yueyan;  Zhang Chengjing;  Zhu Haitao;  Chen Renfu;  Chen Jiacun;  Xue Song.
Department of Urology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, China
关键词:
膀胱阴道瘘; 腹腔镜; 膀胱镜; 瘘口
DOI:
10.3877/cma.j.issn.1674-3253.2017.02.008
摘要:
目的探讨膀胱镜辅助腹腔镜下膀胱阴道瘘修补术的有效性及安全性。方法回顾性分析 2014年 9月至 2016年 9月我科收治的 18例膀胱阴道瘘的病例资料，术前均行膀胱镜、CT尿路成像（CTU）以明确诊断，术式均采用膀胱镜辅助腹腔镜下膀胱阴道瘘修补术，术中膀胱镜主要用于输尿管保护及瘘口定位，对其手术方法进行分析总结，记录其手术时间及手术出血量，并随访 3~12个月，询问有无尿漏及尿频等常见并发症。结果 18例患者均获得成功，无一例中转开放手术且术中均未打开膀胱寻找瘘口。手术时间（125±31）min；术中出血量（65±24）ml。随访（8±4）个月， 18例患者均未出现漏尿，且均无尿频等并发症。结论膀胱镜辅助下腹腔镜膀胱阴道瘘修补术有出血少、创伤小、患者恢复快、成功率高的优点，可降低单纯腹腔镜膀胱阴道瘘修补术的手术难度，且可减少因术中较大范围打开膀胱造成的术后并发症，是治疗膀胱阴道瘘的安全有效的方法。

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备注/Memo

备注/Memo:
通讯作者：薛松，Email：469601418@qq.com
更新日期/Last Update: 2017-04-20