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目的:探讨西藏地区阴道尿瘘病因、疾病特点和治疗经验。方法:回顾性分析1998～2008年收治13例阴道尿瘘患者的临床资料,总结诊治经验。结果:13例阴道尿瘘中膀胱阴道尿瘘10例,膀胱尿道阴道尿瘘2例,左输尿管阴道尿瘘1例。11例行手术治疗者中8例经腹、膀胱入路,3例经阴道入路;7例治愈、1例好转出院,3例失败。2例因瘘口缺损太大和晚期肿瘤未行手术治疗出院。结论:西藏地区女性阴道尿瘘主要与妇女的生育、手术、外伤、恶性肿瘤有关,医疗站点普及可有效的预防阴道尿瘘的发生,提高整体的医疗水平进行有效、及时的诊治。
Objective: To explore the etiology, disease characteristics and treatment experience of vaginal fistula in Tibet. Methods: The clinical data of 13 patients with vaginal urinary fistula admitted from 1998 to 2008 were analyzed retrospectively, and the experience of diagnosis and treatment was summarized. Results: Of the 13 cases, 10 cases of vesico-vaginal fistula, 2 cases of vesico-urethral vaginal fistula, and 1 case of left vaginal urinary fistula. Of the 11 patients who underwent surgery, 8 were transabdominal and bladder approach, 3 were transvaginal; 7 were cured, 1 were discharged and 3 were unsuccessful. 2 cases of fistula defect and the late tumor was not surgically discharged. Conclusion: Female vaginal fistulas in Tibet are mainly related to women’s fertility, surgery, trauma and malignant tumors. The popularization of medical sites can effectively prevent the occurrence of vaginal fistula and improve the overall medical level for effective and timely diagnosis and treatment.