[1]潘宏信,罗光楠**,秦成路,等.球海绵体肌脂肪垫在复杂膀胱阴道瘘修补术中的应用：“围堰堵瘘”法[J].中国微创外科杂志,2016,16(11):1030-1033.
　Pan Hongxin,Luo Guangnan,Qin Chenglu,et al.Bulbocavernous Fat Pad Graft in the Repair of Complicated Vesicovaginal Fistula: “Cofferdam & Plugging” Technique[J].Chinese Journal of Minimally Invasive Surgery,2016,16(11):1030-1033.
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球海绵体肌脂肪垫在复杂膀胱阴道瘘修补术中的应用：“围堰堵瘘”法()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年11期
页码:
1030-1033
栏目:
新技术新方法
出版日期:
2016-11-20

文章信息/Info

Title:
Bulbocavernous Fat Pad Graft in the Repair of Complicated Vesicovaginal Fistula: “Cofferdam & Plugging” Technique
作者:
潘宏信; 罗光楠**; 秦成路; 李宝艳; 石瑾秋; 张可
深圳大学附属罗湖医院女性生殖道畸形诊疗中心妇科盆底专科，深圳518000
Author(s):
Pan Hongxin;  Luo Guangnan;  Qin Chenglu;  et al.
Department of Pelvic Floor Disorders, Center for Reproductive Tract Anomalies, Affiliated Luohu Hospital of Shenzhen University, Shenzhen 518000, China
关键词:
膀胱阴道瘘; 球海绵体肌脂肪垫; 经阴道手术
Keywords:
Vesicovaginal fistula; Bulbocavernous fat pad; Transvaginal approach
文献标志码:
B
摘要:
目的探讨双层缝合技术（“围堰”）及球海绵体肌脂肪垫移植（“堵瘘”）在复杂膀胱阴道瘘修补术中的应用价值。方法2010年1月~2015年12月，采用双层缝合技术（“围堰”）及球海绵体肌脂肪垫移植（“堵瘘”）方法对6例复杂膀胱阴道瘘患者实施经阴道修复手术。4例瘘口>1.5 cm。4例瘘口位置高（近输尿管口）。4例有修复失败史。经阴道瘘口插入尿管至膀胱并充盈水囊，显露并支撑瘘口，双层缝合膀胱关闭瘘口；球海绵体肌脂肪垫移植加强瘘口。术后留置尿管2周。结果6例手术全部一次修复成功。术后平均随访28个月（3~60个月），均未发现漏尿。结论双层缝合技术（“围堰”）及球海绵体肌脂肪垫移植（“堵瘘”）处理复杂膀胱阴道瘘成功率高。
Abstract:
ObjectiveTo investigate the value of the two-layer closure technique (“cofferdam”) and transposition of bulbocavernous fat pad grafts (“plugging”) for the repair of complicated vesicovaginal fistulas.MethodsBetween January 2010 and December 2015, six women with complicated vesicovaginal fistulas were repaired transvaginally. Four patients had a large fistula orifice (>1.5 cm). Four patients had a high location of fistula (near the orificium ureteris). Four cases had a previously failed history of fistula repair. A Foley catheter was inserted into the bladder through the fistula opening, which allowed for a clear view to perform fistula repair. A two-layer closure technique was performed for bladder closure, followed by transposition of bulbocavernous fat pad graft and a single-layer vaginal closure. A catheter was utilized for 2 weeks postoperatively.ResultsAll the six patients with complicated vesicovaginal fistula were successfully treated by using this technique. The mean duration of follow-up was 28 months (range, 3-60 months). No symptoms of vagina leakage were reported.ConclusionTwo-layer closure technique and transposition of bulbocavernous fat pad graft is an effective technique with high success rate for repairing complicated vesicovaginal fistulas.

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备注/Memo

备注/Memo:
基金项目：深圳市卫生计生委科技计划项目（201601055）**通讯作者，E-mail:szlhlgn@126.com
更新日期/Last Update: 2017-02-10