Tazi K, Moudouni S, Koutani A, Ibn Attya A, Hachimi M, Lakrissa A
Service d'Urologie B, CHU Ibn Sina, Rabat, Maroc.
Prog Urol. 1999 Dec;9(6):1123-6.
The authors report the case of a woman presenting with urethrovesical rupture and vaginal fistula following pelvic trauma. This is a rare lesion, only 30 cases were reported in the literature [12]. The diagnosis may be initially missed, as it requires a meticulous emergency uro-gynaecological examination. Lesions involve the bladder and almost all of the urethra, injuring both the smooth and the striated sphincters. Treatment by reconstructive surgery after good exposure of the fistula achieved a good anatomical result and a moderate functional result.
作者报告了一名女性在骨盆创伤后出现尿道膀胱破裂和阴道瘘的病例。这是一种罕见的病变，文献中仅报道了30例[12]。由于需要进行细致的急诊泌尿妇科检查，最初可能会漏诊。病变累及膀胱和几乎整个尿道，损伤了平滑肌和横纹肌括约肌。在充分暴露瘘管后进行重建手术治疗，取得了良好的解剖学效果和中等程度的功能效果。
