输尿管阴道瘘的腔镜治疗（附1例报告并文献复习）

石瑛; 赵玉生; 刘庆; 赵岩; 鞠文

输尿管阴道瘘的腔镜治疗（附1例报告并文献复习）

- 1 华中科技大学同济医学院附属协和医院泌尿外科(武汉, 430022);
- 2 钟祥市中医院泌尿外科;
- 3 湖北省新华医院泌尿外科

详细信息

通讯作者: 鞠文,E-mail:juwenuu@21cn.com

中图分类号: R693

收稿日期: 2011-11-25

Endourologic management of ureterovaginal fistula: report of 1 case and review of literature

- 1. Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science&Technology, Wuhan, 430022, China;
- 2. Department of Urology, Zhongxiang Hospital of Chinese Medicine;
- 3. Department of Urology, Huibei Xinhua Hospital

More Information

Corresponding author: JU Wen, E-mail: juwenuu@21cn.com

Received Date: 25 November 2011

摘要

摘要: 目的:报告腔镜治疗输尿管阴道瘘的经验并探讨输尿管阴道瘘的病因、诊断和治疗方法。方法:回顾性分析我科收治的1例因腹腔镜下子宫切除术后出现输尿管阴道瘘患者的诊断和腔镜治疗过程。结果:患者输尿管镜检发现左输尿管下段距膀胱开口5 cm处有狭窄,邻近可见一径约0.4 cm瘘口,行钬激光狭窄内切开及留置双J管后阴道漏尿症状迅速缓解,3个月后复查尿瘘无复发。结论:腔镜治疗输尿管阴道瘘创伤小且效果良好,同时临床医生也要重视输尿管阴道瘘的预防和诊断。
- 输尿管阴道瘘 /
- 输尿管镜 /
- 双J管
Abstract: Objective:To report the result of endourology management of ureterovaginal fistula and discuss the cause, diagnosis and treatment of ureterovaginal fistula.Method:A patient with ureterovaginal fistula caused by laparoscopic hysterectomy was admitted in our department, and the clinical data of diagnosis and endourologic treatment was analyzed retrospectively. Result:Ureteral stricture and a fistula about 0.4 cm were observed at the left ureter 5 cm from the orifice. The vaginal leakage was relieved soon after the resection of ureteral stricture and indwelling double J stent ureteroscopically. The patient kept dry three months later.Conclusion:Endourologic management of ureterovaginal fistula is secure and efficient, and the clinicians should be aware of the prevention and diagnosis of ureterovaginal fistula.
- ureterovaginal fistula /
- ureteroscope /
- double J stent

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参考文献(6)

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