患者35岁,1987年12月5日以阴道漏尿1年入院。1986年因难产致子宫断离、膀胱损伤曾经腹行创缘缝合及膀胱修补术,术后拔去留置尿管即有尿液自阴道流出。以往健康。妇科检查:见阴道壁距前庭4 cm 处有约5~+cm 直径之椭圆形巨大瘘孔。膀胱内有结石,触痛明显。瘘孔后缘与阴道顶端粘膜相延续,阴道顶呈盲端,阴道后壁松驰,长约9cm,合并膨出。入院诊断①巨大膀胱阴道瘘②膀胱结石③阴道后壁膨出。在做好各项准备后,于1988年 The patient was 35 years old and admitted to the hospital for vaginal leakage on December 5, 1987. In 1986 due to dystocia caused by the uterus off, the bladder injury had abdominal margin suture and bladder repair, pull out the catheter after surgery that urine from the vaginal discharge. Past health. Gynecological examination: see the vaginal wall 4 cm away from the vestibular at about 5 ~ + cm diameter oval huge fistula hole. Bladder stones, tenderness significantly. The fistula trailing edge and the vaginal apical mucosa continued, the vaginal top was blind, vaginal posterior wall relaxation, about 9cm, with bulging. Admission diagnosis ① huge bladder vaginal fistula ② bladder stones ③ vaginal posterior wall bulging. After making all preparations, in 1988