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妇科手术后泌尿生殖瘘的保守治疗:纤维蛋白胶的价值

[Conservative treatment of urogenital fistula following gynecological surgery: the value of fibrin glue].

作者信息

Tostain J

机构信息

Département d'Urologie, Polyclinique de Beaulieu Saint-Etienne.

出版信息

Acta Urol Belg. 1992;60(3):27-33.

PMID:1492632
Abstract

Ureteric and bladder vaginal fistulas are recognized complications of gynaecologic surgery. We report on 4 cases of fistulas (2 uretero-vaginal and 2 vesico-vaginal) successfully treated by urinary drainage associated with plugging of fistula with fibrin sealant. Efficiency of conservative treatments is directly related to early application. Mechanical and biological properties of fibrin sealant explain its possible role in recovery, without increasing risk of viral transmission.

摘要

输尿管阴道瘘和膀胱阴道瘘是妇科手术中公认的并发症。我们报告了4例瘘管(2例输尿管阴道瘘和2例膀胱阴道瘘),通过尿液引流联合用纤维蛋白密封剂封堵瘘管成功治愈。保守治疗的效果直接与早期应用有关。纤维蛋白密封剂的机械和生物学特性解释了其在恢复过程中可能发挥的作用,且不会增加病毒传播风险。

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