三甲医院膀胱阴道瘘修复的结果:队列研究

Jason Liarto, Jufriady Ismy
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摘要

目的:本研究旨在通过评估膀胱阴道瘘修复的成功率和发生的并发症来评估有膀胱阴道瘘修复史的患者的预后。材料与方法:本研究是一项回顾性队列研究,描述了膀胱阴道瘘修复患者的病因、途径和结果。分析膀胱阴道瘘的并发症类型、病因及治疗方法。结果:膀胱阴道瘘10例,平均年龄33.4±14.5岁。经腹和经阴道入路相同。60%的患者治疗成功,无并发症。40%的失禁患者出现轻度尿失禁,需要进一步修复。结论:经阴道和经腹腔入路修复瘘管效果相同,并发症发生率低,成功率高。关键词:膀胱阴道瘘回顾性经腹经阴道
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OUTCOME OF VESICOVAGINAL FISTULA REPAIR AT TERTIERY HOSPITAL: COHORT STUDY
Objective: This study aims to provide an evaluation of the outcome of patients with history of vesicovaginal fistula repair by assessing the success rate and complications that occur.  Material & Methods: This study was a retrospective cohort study to describe the etiology, approach, and outcome in patients undergoing vesicovagina fistula repair. We analyzed the complication with vesicovaginal fistula type, etiology and technique used.  Results: There were 10 vesicovaginal fistula patients, with mean age 33.4 ± 14.5 years. Both transabdominal and transvaginal approach were equally used. Sixty percent patient was successfully treated without complication. Forty percent patient with incontinence came with mild urinary incontinence and need further repair.  Conclusion: Both transvaginal and transabdominal approach were equally effective to repair fistula with relatively low complication rate and high successful rate. Keywords: Vesicovaginal fistula, retrospective, transabdominal and transvaginal.  
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