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作者于1971、1980年两次随辽宁省医疗队赴阿拉伯也门共和国工作。四年间收冶女性泌尿生殖道瘘122例,经手术治疗,获得较好疗效。其最后21例采用粘膜下组织一层缝合法,全部治愈取得满意效果,现简介如下: 手术充分暴露视野后.以细长刀尖沿瘘孔边缘切开阴道粘膜至粘膜下层。以此开始向外剥离阴道壁,厚薄要均匀使阴道与膀胱粘膜分开。自瘘孔向外剥离的范围,争取达到1.5~2厘米。在阻力大的地方,两相对应边,可互相弥补不足。
The author twice went to work in the Arab Republic of Yemen with Liaoning Medical Team in 1971 and 1980. Four years received the female genitourinary fistula 122 cases, after surgery, get better curative effect. The last 21 cases of submucosal tissue suture method, all cured to obtain satisfactory results, are summarized as follows: After surgery fully exposed field of vision to the edge of the fistula with elongated knife incision vaginal mucosa to the submucosa. In order to start peeling the vaginal wall outward, the thickness of the vagina should be evenly separated from the bladder mucosa. Stripping from the fistula hole to the extent of striving to reach 1.5 to 2 cm. In the place of great resistance, two corresponding sides, can make up for each other.