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目的:探讨带蒂腹直肌瓣修补膀胱阴道瘘的临床疗效。方法:回顾性分析2006年1月～2011年1月对39例较大瘘口的膀胱阴道瘘患者行带蒂腹直肌瓣修补,其中初次修补34例,2次以上修补5例;单纯瘘口修补30例,瘘口修补并输尿管膀胱再植9例。结果:39例患者中有38例获得随访,1例失访。一次手术成功率97.4%(37例);1例(2.6%)行二次修补治愈。术后随访6～36个月,均未出现阴道漏尿。结论:利用带蒂腹直肌瓣覆盖修补瘘口是治疗膀胱阴道瘘的有效方法。
Objective: To investigate the clinical effect of pedicled rectus abdominis flap in repairing vesicovaginal fistula. Methods: From January 2006 to January 2011, 39 cases of vesicovaginal fistula with larger fistula were retrospectively performed with pedicled rectus abdominis flap. Among them, 34 cases were initially repaired and 5 cases were repaired twice or more; simple fistula Oral repair in 30 cases, fistula repair and ureteral bladder replantation in 9 cases. Results: Of the 39 patients, 38 were followed up and 1 was lost. The success rate of one operation was 97.4% (37 cases), and one case (2.6%) was cured by secondary repair. Follow-up 6 to 36 months after surgery, no leakage of vaginal urine. Conclusion: It is an effective method to treat vesicovaginal fistula by using the pedicled rectus abdominis flap to cover the fistula.