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二十年来我们经腹治疗复杂尿瘘32例,其中膀胱阴道瘘19例,18例作了修补术,成功14例,失败4例,1例结核性者作了乳头式输尿管皮肤造口术。13例输尿管阴道瘘中11例作了输尿管膀胱吻合,其中10例成功,1例失败,改用膀胱瓣代输尿管手术治愈,另外2例也用膀胱瓣代输尿管手术治愈。现将诊断治疗中的几点体会介绍如下。诊断问题。一般观察输尿管口喷尿鉴别输尿管阴道瘘和输尿管异位开口,以及确定输尿管口与瘘
In the past two decades, 32 cases of complicated urinary fistula were treated by abdomen, including 19 cases of vesicovaginal fistula and 18 cases of repair of vaginal fistula. 14 cases were successfully treated, 4 cases failed and 1 case of tuberculous ureter was used for skin ureostomy. Of the 13 ureteric fistulas, 11 had ureteral anastomosis, of which 10 were successful and 1 failed, and the bladder was surgically treated by ureter surgery. The other 2 patients were also treated with bladder flap surgeries. Now the diagnosis and treatment in a few experience described below. Diagnose the problem. General observation of ureteric ureter to identify ureteroscopic fistula and ureter ectopic opening, and to determine the ureteral orifice and fistula