Nardos Rahel, Browning Andrew, Member Birhanu
Bahir Dar Hamlin Fistula Center, Bahir Dar, Ethiopia.
Int J Gynaecol Obstet. 2008 Oct;103(1):30-2. doi: 10.1016/j.ijgo.2008.05.021. Epub 2008 Jul 16.
To compare the surgical outcome at discharge and at 6-months follow up in patients who underwent repair of obstetric fistulae with postoperative bladder catheterization for 10, 12, or 14 days.
A retrospective study of 212 obstetric fistula patients who underwent repair with postoperative bladder catheterization for 10 days (group 1), 12 days (group 2), and 14 days (group 3) at the Bahir Dar Hamlin Fistula Center in Ethiopia. Fistulas were classified according to Goh's system.
There were 68 women (32%) in group 1, 62 women (29%) in group 2, and 82 women (39%) in group 3. There was a significant difference in the extent of urethral involvement, fistula size, and degree of vaginal scarring among the 3 groups, with the more extensively damaged patients catheterized for longer. Breakdown of repair was seen in 1.5% of patients in group 1, none in group 2, and 2% in group 3 (P=0.47).
Postoperative catheterization for 10 days may be sufficient for management of less complicated obstetric vesicovaginal fistulae.
比较接受产科瘘修补术且术后留置膀胱导尿管10天、12天或14天的患者出院时及随访6个月时的手术结局。
对埃塞俄比亚巴赫达尔哈姆林瘘管中心212例接受修补术且术后分别留置膀胱导尿管10天（第1组）、12天（第2组）和14天（第3组）的产科瘘患者进行回顾性研究。瘘管根据戈氏系统进行分类。
第1组有68名女性（32%），第2组有62名女性（29%），第3组有82名女性（39%）。3组患者在尿道受累程度、瘘管大小和阴道瘢痕程度方面存在显著差异，损伤越广泛的患者导尿管留置时间越长。第1组1.5%的患者修补失败，第2组无，第3组为2%（P = 0.47）。
对于不太复杂的产科膀胱阴道瘘，术后留置导尿管10天可能足够。
