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膀胱阴道瘘的流行病学决定因素。

Epidemiological determinants of vesicovaginal fistulas.

作者信息

Tahzib F

出版信息

Br J Obstet Gynaecol. 1983 May;90(5):387-91. doi: 10.1111/j.1471-0528.1983.tb08933.x.

DOI:10.1111/j.1471-0528.1983.tb08933.x
PMID:6849845
Abstract

Between 1969 and 1980 1443 patients with vesicovaginal fistulas were operated on in Ahmadu Bello University Hospital in Northern Nigeria. They have been studied in relation to their obstetric, social and environmental background. The preventable nature of the lesion was explored particularly with respect to age, parity and obstructed labour, and to traditional practices including 'gishiri cutting', which alone accounts for 13% of all the fistulas. Vesicovaginal fistulas are still a major cause for concern in many developing countries; measures for prevention include universal education and improved status of women in society as well as improved and accessible medical services.

摘要

1969年至1980年间,尼日利亚北部的阿哈马杜·贝洛大学医院对1443例膀胱阴道瘘患者进行了手术治疗。针对这些患者的产科、社会和环境背景展开了研究。特别探讨了该病症的可预防性,涉及年龄、胎次和产程梗阻等方面,以及包括“吉希里切割”在内的传统习俗,仅“吉希里切割”一项就占所有瘘管病例的13%。在许多发展中国家,膀胱阴道瘘仍是一个重大关切问题;预防措施包括普及教育、提高妇女社会地位以及改善医疗服务的可及性。

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