Kelly J, Winter H R
Department of Public Health and Epidemology, University of Birmingham, Edgbaston, Birmingham, England, B15 2TT, UK.
Int J Gynaecol Obstet. 2007 Nov;99 Suppl 1:S21-4. doi: 10.1016/j.ijgo.2007.06.017. Epub 2007 Sep 4.
This article presents the reflections of an experienced fistula surgeon and an epidemiologist on the current knowledge base for obstetric fistula. The incidence, prevention, and management of vesico-vaginal and recto-vaginal fistula are discussed. The authors call for more randomized controlled trials to determine the effectiveness of surgical interventions for fistula repair.
本文展示了一位经验丰富的瘘管外科医生和一位流行病学家对当前产科瘘管知识基础的思考。文中讨论了膀胱阴道瘘和直肠阴道瘘的发病率、预防及治疗。作者呼吁开展更多随机对照试验,以确定瘘管修复手术干预措施的有效性。