Shittu O S, Ojengbede O A, Wara L H I
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
Int J Gynaecol Obstet. 2007 Nov;99 Suppl 1:S79-S84. doi: 10.1016/j.ijgo.2007.06.014.
Nigeria harbors an estimated 40% of all the women affected with obstetric fistulas today, and at the current rate of treatment in this country, it would take about 300 years to treat them if no new fistulas occurred. This situation obviously runs contrary to the ideals of the United Nations Millennium Development Goals and needs to be reversed. We reviewed the literature on fistula treatment in Nigeria to identify strategies and practices that, if adopted, would likely accelerate the pace of fistula repair and improve postoperative fistula care in this country. A comprehensive nationwide survey, a stronger political will and commitment of resources, a systematic postoperative care and follow-up, more fistula centers, and more fistula campaigns are necessary. Technically, the involvement of all surgeons trained in fistula repair and an experience-based postoperative management protocol will relieve the disease burden carried by women living with fistulas in Nigeria.
目前，全球约40%患有产科瘘的女性生活在尼日利亚。按照该国目前的治疗速度，如果不再出现新的瘘病例，治疗现有病例大约需要300年。这种情况显然有悖于联合国千年发展目标的理想，必须加以扭转。我们查阅了尼日利亚瘘管病治疗方面的文献，以确定若予以采用可能加快该国瘘管修复速度并改善术后瘘管护理的策略和做法。开展全面的全国性调查、拿出更强的政治意愿并投入资源、进行系统的术后护理和随访、设立更多的瘘管病治疗中心以及开展更多的瘘管病防治运动很有必要。从技术层面讲，让所有接受过瘘管修复培训的外科医生参与其中，并制定基于经验的术后管理方案，将减轻尼日利亚瘘管病患者所承受的疾病负担。
