中国医学前沿杂志（电子版）2016，Vol.8Issue(4)：66-69,4.
经阴道拖出带蒂大网膜预防膀胱阴道残端瘘的临床效果观察
The clinical effects of preventing vesicovaginal ifstula by dragging pedicled omentum through the vagina for patients after posterior pelvic exenteration
王刚成 1韩广森 1刘英俊 1程勇 1王有财 1刘晓勇1
作者信息
- 1. 河南省肿瘤医院 普通外科，郑州450008
- 折叠
摘要
Abstract
ObjectiveTo investigate the safety and efficacy of preventing vesicovaginalfistula by dragging pedicled omentum through the vagina for the patients after posterior pelvic exenteration.MethodAtotal of 16 patients whose bladders were injured during the posterior pelvic exenteration in our hospital from May 2009 to October 2013 were retrospectively analyzed. The measure of preventing vesicovaginal fistula by dragging pedicled omentum through the vagina was applied to all the patients.ResultThe vesicovaginalfistula was not found in 15 cases during the 6 months follow-up: the median removal time of pelvic drainage tubes was 10 days (ranged 7~14 days) after operation; the median removal time of catheters was 20 days (ranged 14~30 days). One patient suffered from the vesicovaginalfistula after pulling out catheter for 2 days (20 days after operation), and the catheter was indelled again and pulled out after 60 days. There was no vesicovaginalfistula recurrence during the 6 months follow-up.ConclusionIt is effective to prevent the vesicovaginalfistula for the patients after posterior pelvic exenteration by dragging pedicled omentum through the vagina. In addition, this treatment is worth promoting for fewer complications, simple operation and high success rate.关键词
带蒂大网膜/膀胱阴道残端瘘/后盆腔联合脏器切除术/预防Key words
Pedicled omentum/Vesicovaginalfistula/Posterior pelvic exenteration/Prevent引用本文复制引用
王刚成,韩广森,刘英俊,程勇,王有财,刘晓勇..经阴道拖出带蒂大网膜预防膀胱阴道残端瘘的临床效果观察[J].中国医学前沿杂志（电子版）,2016,8(4):66-69,4.
