Crimail P, Lymperopoulou-Dodou A
Service de Gynécologie-Obstétrique, CHI, Montreuil.
J Gynecol Obstet Biol Reprod (Paris). 1992;21(1):112-8.
The authors report a case history of a vesico-uterine fistula after a caesarean section which was proven by histerography. It presented as the loss of urine together with blood at the periods, which they treated at first by using analogues of LH-RH in order to dry up the loss. They, using this case, have analysed the literature on vesico-uterine fistulae after caesarean operations. This has appeared in the last 10 years. They demonstrate the physiopathology and the symptomatology of these particular fistulae. Symptomatology changes over a time interval in the same patient; and it probably depends on the capacity of the isthmus to recover its tone, as well as the fact that this fistula was localised at the isthmus which is the usual place that it occurs.
作者报告了一例剖宫产术后膀胱子宫瘘的病例史，该病例经子宫输卵管造影证实。其表现为经期伴有血液的尿失禁，他们最初使用促黄体生成素释放激素类似物进行治疗以止住漏尿。他们以该病例为依据，分析了过去10年中有关剖宫产术后膀胱子宫瘘的文献。他们阐述了这些特殊瘘管的生理病理学及症状学。同一患者的症状学在一段时间内会发生变化；这可能取决于峡部恢复张力的能力，以及该瘘管位于峡部这一常见发病部位的事实。
