年轻女孩中采用小阴唇皮瓣修复骨盆骨折继发的尿道阴道瘘

Repair of Urethrovaginal Fistula Secondary to Pelvic Fracture With a Labia Minora Skin Flap in Young Girls.

作者信息

Jiang Dapeng, Chen Zhoutong, He Lei, Lin Houwei, Jin Longhu, Xu Maosheng, Xu Guofeng, Fang Xiaoliang, Geng Hongquan

机构信息

Department of Pediatric Urology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, National Key Clinical Specialty, Shanghai Top-Priority Clinical Center, Shanghai, China.

出版信息

Urology. 2017 May;103:227-229. doi: 10.1016/j.urology.2017.01.002. Epub 2017 Jan 31.

DOI:10.1016/j.urology.2017.01.002

PMID:28159591

Abstract

The study aims to evaluate the efficacy of transpubic access using a pedicle flap from the labia minora for urethral reconstruction in young girls with urethrovaginal fistula secondary to pelvic fracture. Between January 2011 and January 2016, 4 cases of traumatic urethrovaginal fistula in young girls were treated using a pedicle flap from the labia minora. The mean follow-up was 27 months. All patients voided well and achieved normal urinary control. One patient had recurrent urethrovaginal fistula. The remaining 3 patients required no additional treatment. A labia minora skin flap for urethral reconstruction in young girls with urethrovaginal fistula secondary to pelvic fractures is a reliable technique.

摘要

本研究旨在评估采用小阴唇带蒂皮瓣经耻骨途径对骨盆骨折继发尿道阴道瘘的年轻女孩进行尿道重建的疗效。2011年1月至2016年1月期间，4例年轻女孩的创伤性尿道阴道瘘采用小阴唇带蒂皮瓣进行治疗。平均随访27个月。所有患者排尿良好，实现了正常的尿控。1例患者出现复发性尿道阴道瘘。其余3例患者无需额外治疗。对于骨盆骨折继发尿道阴道瘘的年轻女孩，采用小阴唇皮瓣进行尿道重建是一种可靠的技术。