1976年7月至1994年12月，手术治疗膀联阴道瘘20例，成功率85％，现报告如下。临床资料一、发病原因：20例中17例由于难产引起的尿瘘（其中死胎断头术器械损伤膀胱阴道2例急诊收住治疗），3例手术损伤所致（子宫全切除术损伤膀胱）。二、患病期限：1年以上17例，6～24小时3例，2 July 1976 to December 1994, surgical treatment of bladder joint vaginal fistula in 20 cases, the success rate of 85%, are as follows. Clinical data First, the cause of the disease: 20 cases of 17 cases of urinary fistula due to dystocia (which is the decapitation of fetal death apparatus emergency treatment of bladder and vagina 2 cases admitted), 3 cases of surgical injury (hysterectomy injury bladder). Second, the duration of illness: more than 1 year in 17 cases, 6 to 24 hours in 3 cases, 2