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患者30岁。因横位难产引起膀胱阴道瘘1年于1983年4月15日入院。检查发现:阴道前穹窿部有6×5cm瘘孔,距右输尿管口0.3cm,距左输尿管口1.5cm。膀胱粘膜翻出。子宫前唇纵形裂开与瘘孔相通。于持硬麻醉下手术。经腹切开膀胱顶部,插入双侧输尿管导管。分离瘘孔周围组织,切除瘢痕组织。游离子宫前壁与膀胱壁至子宫颈,充分暴露瘘口,用肠线缝合瘘口上部2针。结扎切断胃网
The patient is 30 years old. Due to transverse dystocia caused by vesicoureteral fistula 1 year in April 15, 1983 admission. Examination found: vaginal anterior fornix 6 × 5cm fistula hole, from the right ureter orifice 0.3cm, left ureteral orifice 1.5cm. Bladder mucosa pulls out. Uterine lip longitudinal split and fistula hole open. In hard anesthesia surgery. Transabdominal incision of the top of the bladder, bilateral ureteral catheterization. Isolate the tissue around the fistula and remove the scar tissue. Free anterior uterine wall and the bladder wall to the cervix, the full exposure of the fistula, stoma suture the upper 2 stitches. Ligation cut off the stomach