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尿瘘多系产伤引起,据我国12省、自治区尿瘘病因调查,产伤占91.36%。由于引起产伤的原因比较复杂,为了明确骨产道和尿瘘发病的关系,我院从1980年以来无选择性地测量了50例产伤性尿瘘患者的身高和骨盆(包括骨盆外测量和 X 线测量),凡骨盆外测量其入口前后径和出口横径或其中之一比正常平均值小,同时 X 线测量有1~3个平面明显狭窄者诊断为骨盆狭窄。50例中,有骨盆狭窄者41例,占82%,说明骨盆异常和尿瘘发病关系密切,预防尿瘘新发病例必须从孕期保健着手,特别是早期诊断骨盆异常和正确处理难产,是预防尿瘘的重要环节。
Urinary fistula caused by multiple birth trauma, according to the investigation of etiology of urinary fistula in 12 provinces and autonomous regions in our country, accounting for 91.36% of birth trauma. In order to clarify the relationship between bone production and urinary fistula, we have measured the height and pelvis of 50 patients with traumatic urinary fistula (including extra-pelvic measurement and X-ray Measurement), any measurement of pelvis before and after its entry and exit diameter and exit diameter or one of the smaller than the normal average, while X-ray measurement of 1 to 3 obvious stenosis were diagnosed as pelvic stenosis. 50 cases, 41 cases of pelvic stenosis, accounting for 82%, indicating the pelvic anomalies and the incidence of urinary fistula close, the prevention of new cases of urinary fistula must start from the health care, especially the early diagnosis of pelvic abnormalities and correct treatment of dystocia, is to prevent urinary fistula Important part.