摘要
目的 探讨双侧单J管外引流在膀胱阴道瘘早期治疗中的安全性和有效性。方法 29例膀胱阴道瘘保守治疗失败的患者早期随机进行双侧单J管外引流（12例）和膀胱阴道瘘修补术（17例），比较两组手术时间、术中出血量、术后住院时间、术后留置尿管时间、复发率等临床资料。 结果 29例患者手术顺利，均未发生并发症，两组间一般资料比较差异未见统计学意义（P〉0.05）；双侧单J管外引流组的手术时间、术中出血量、术后住院时间均小于膀胱阴道瘘修补术组；两组复发率比较差异未见统计学意义（16.7%比11.8%, P〉0.05）。结论 双侧单J管外引流具备良好的安全性、有效性，可作为膀胱阴道瘘早期治疗的备选方法。
Objective To investigate the security and effectiveness of two-sided single J tube external drainage in the early treatment of urinary bladder fistula.Methods Twenty-nine cases of failure of conservative treatment of bladder vaginal fistula in the early stage of randomized two-sided single J tube external drainage （12 cases） and bladder vaginal fistula repairment （17 cases）, the clinical data were compared between two groups including operation time, intraoperative bleeding, postoperative hospitalization time, postoperative indwelling catheter and recurrence rate.Results The operation was successful in 29 patients, and no complication occurred. There was no significant difference between the two groups in general data （P〉0.05）; the operative time, blood loss volume, postoperative hospital stayin in two-sided single J tube external drainage group were less than those in bladder and vagina fistula repairment group （P〈0.05）. And the recurrence rate between the two groups had no significant difference （16.7% vs. 11.8%, P〉0.05）.Conclusions Two-sided single J tube external drainage has good safety and effectiveness, and can be used as an alternative method for early treatment of bladder vaginal fistula.
出处
《中国实用医刊》
2017年第20期94-96,共3页
Chinese Journal of Practical Medicine
关键词
膀胱阴道瘘
早期治疗
单J管
Vesicovaginal fistula
Early treatment
Single J tube
