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患者女,12岁。8年前在外院行膀胱切开取石术后,阴道持续性漏尿,至今未愈,于1988年12月27日入我院。入院后检查为膀胱尿道阴道瘘,瘘孔上缘达阴道前穹窿顶端,下缘距尿道外口2.5cm。1989年1月6日在持续硬膜外麻醉下经耻骨上切口手术。术中发现膀胱废用性萎缩,膀胱后壁巨大卵圆形瘘孔,瘘孔上缘达膀胱顶部,瘘孔下缘隐蔽于耻骨后深处,显露困
Female patient, 12 years old. 8 years ago in the hospital out of line after cystectomy lithotomy, continuous vaginal leakage, up to now, in December 27, 1988 into our hospital. After admission check for bladder and urethra fistula, fistula hole on the edge of the anterior vaginal vault, the lower edge of the urethral orifice 2.5cm. January 6, 1989 under continuous epidural anesthesia by suprapubic incision surgery. Bladder waste atrophy was found during surgery, a large oval fistula hole in the posterior wall of the bladder, the upper edge of the fistula hole up to the top of the bladder, the lower edge of the fistula hole hidden in the depths of the pubis, revealing difficulties