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目的探讨头部难产所致尿瘘保守治疗的效果。方法当发现尿瘘时 ,即刻静脉给于抗生素并同时冲洗阴道、局部用药、留置导尿管 ,以保持膀胱空虚有利于改善局部血供。结果 9例患者经治疗后阴道脓性分泌物逐渐减少 ,阴道粘膜坏死区域逐渐修复。其中 8例完全修复 ,粘膜恢复正常 ,拔导尿管后无尿瘘。结论保守治疗是简单易行、积极有效的措施。甲硝唑能有效抑制厌氧菌的生长
Objective To investigate the effect of conservative treatment of urinary fistula caused by dystocia. Methods When found fistula, immediately give intravenous antibiotics while flushing the vagina, local medication, indwelling catheter, in order to maintain the empty bladder is conducive to improving the local blood supply. Results Nine cases of vaginal purulent secretions gradually reduced after treatment, vaginal mucosal necrosis gradually restored. Among them, 8 cases were completely repaired and the mucous membrane returned to normal. No urinary fistula was found after pulling the catheter. Conclusions Conservative treatment is a simple, effective and effective measure. Metronidazole can effectively inhibit the growth of anaerobic bacteria