约20％丧失功能的膀胱在晚期可能发生膀胱积脓,其临床表现为恶臭的排出物和败血症,它妨碍膀胱冲洗等保守治疗。Spence和Allen(1971)为预防膀胱积脓曾描述过经阴道膀胱造口术,用Kocher氏钳之两臂分别置入膀胱及阴道前穹窿,当紧闭两臂时二者间的组织造一瘘孔。其边缘用肠线缝合止血。一些外科医师在患者膀胱功能丧失和并发感染时常规执行此技术以利引流。 作者最近介绍一种更为简便的方法。首先把Lloyd Davies镫放入患者阴道内,再将钉穿器另一长 Approximately 20% of degenerative urinary bladder may develop empyema in the late stage, the clinical manifestations of which are stinky discharges and sepsis which prevent conservative treatment such as bladder irrigation. Spence and Allen (1971) have described transvaginal bladder ostomy for the prevention of vesiculated empyema and placed the bladder and the vaginal anterior vaginal fornixes with the arms of Kocher’s pliers, respectively, Fistula hole. The edge of the gut suture to stop bleeding. Some surgeons routinely perform this technique to facilitate drainage in patients with bladder dysfunction and concurrent infection. The author recently introduced a more convenient method. First place Lloyd Davies 镫 in the patient’s vagina, then place the spike on another