Elkins T E, Drescher C, Martey J O, Fort D
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor.
Obstet Gynecol. 1988 Sep;72(3 Pt 1):307-12.
Vesicovaginal fistulas remain common and serious problems for women in West Africa. Thirty-six surgical repairs done during visiting professorships by American gynecologists between the years 1978-1987 are documented. The overall success rate was 70%. The management of large (greater than 4 cm) obstetric fistulas was especially difficult until the Latzko technique was abandoned for the technique of wide mobilization of vaginal flaps over the fistula site. This technique reduced the failure rate from 75% through 1986 to approximately 25% in 1987. Ongoing controversies and basic principles of surgical techniques in fistula repair are reviewed.
膀胱阴道瘘对西非妇女来说仍然是常见且严重的问题。本文记录了1978年至1987年间美国妇科医生在客座教授任期内进行的36例外科修复手术。总体成功率为70%。在放弃Latzko技术而采用瘘管部位阴道皮瓣广泛游离技术之前，大型（大于4厘米）产科瘘的治疗尤其困难。该技术使失败率从1986年的75%降至1987年的约25%。本文还回顾了瘘管修复手术技术中持续存在的争议和基本原则。
