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本文重点介绍几种困难尿痿手术处理的经验与教训。其中经阴道经腹联合途经手术15例,成功9例,好转2例,失败4例,还介绍了6例广泛性阴道疤痕或伴阴道中下段闭锁利用小阴唇带蒂片填补法,不仅加固了痿孔促进了修补成功,且解决了阴道疤痕狭窄。此外还介绍了1例阴道前穹窿巨大复杂痿及1例膀胱颈部痿伴尿道后部缺损,利用腹直肌前鞘填补加固的手术。
This article focuses on the experience and lessons of several difficult urinary atrophy surgical treatments. Transvaginal transabdominal transabdominal surgery in 15 cases, 9 cases of success, improved in 2 cases, failure in 4 cases, but also introduced the 6 cases of extensive vaginal scar or with vaginal closure of the middle and lower genital flap filling method, not only reinforced Ametropic hole to promote successful repair, and to solve the vaginal scar stenosis. In addition, one case of huge complex atrophy of the vaginal anterior fornix and one case of bladder neck atrophy with posterior urethral defect were introduced, and the anterior rectus sheath was used to fill and reinforce the operation.