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膀胱子宫瘘:剖宫产术后阴道分娩的罕见并发症。

Vesicouterine fistula: a rare complication of vaginal birth after cesarean.

作者信息

Miklos J R, Sze E, Parobeck D, Karram M M

机构信息

Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, Ohio, USA.

出版信息

Obstet Gynecol. 1995 Oct;86(4 Pt 2):638-9. doi: 10.1016/0029-7844(95)00135-e.

DOI:10.1016/0029-7844(95)00135-e
PMID:7675394
Abstract

BACKGROUND

Vesicouterine fistula is rare. We report a vesicouterine fistula that was the direct result of a vaginal delivery in a patient with a history of lower uterine segment cesarean delivery.

CASE

A woman developed a vesicouterine fistula during vaginal delivery after a previous cesarean. An anterior uterine wall defect was noted immediately after the delivery. Continuous bladder drainage was unsuccessful in managing her fistula, and surgical correction was necessary.

CONCLUSION

Although rare, a vesicouterine fistula can occur as a complication of vaginal delivery in patients with a history of cesarean delivery.

摘要

背景

膀胱子宫瘘罕见。我们报告一例膀胱子宫瘘,其是既往有子宫下段剖宫产史的患者经阴道分娩的直接后果。

病例

一名女性在既往剖宫产术后经阴道分娩时发生膀胱子宫瘘。分娩后立即发现子宫前壁缺损。持续膀胱引流未能治愈其瘘管,因此需要手术矫正。

结论

虽然罕见,但膀胱子宫瘘可作为剖宫产史患者经阴道分娩的并发症出现。

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1
Vesicouterine fistula: a rare complication of vaginal birth after cesarean.膀胱子宫瘘:剖宫产术后阴道分娩的罕见并发症。
Obstet Gynecol. 1995 Oct;86(4 Pt 2):638-9. doi: 10.1016/0029-7844(95)00135-e.
2
Vesicouterine fistula: a rare complication of vaginal birth after cesarean.膀胱子宫瘘:剖宫产术后经阴道分娩的罕见并发症。
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[Vesico-uterine fistula occurring after a normal labor in a patient with a scarred uterus].[瘢痕子宫患者正常分娩后发生膀胱子宫瘘]
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Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of the Congo: epidemiological, clinical, and therapeutic aspects.刚果民主共和国 9 所参考医院的产科膀胱-子宫瘘:流行病学、临床和治疗方面。
BMC Womens Health. 2024 May 23;24(1):309. doi: 10.1186/s12905-024-03124-w.
2
Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature.剖宫产术后30年出现尿失禁的膀胱子宫瘘:病例报告及文献复习
Can Urol Assoc J. 2014 Jan-Feb;8(1-2):E48-50. doi: 10.5489/cuaj.1225.
3
Vesicouterine fistulae: our experience of 17 cases and literature review.
膀胱子宫瘘:我们17例病例的经验及文献综述
Int Urogynecol J. 2013 Feb;24(2):275-9. doi: 10.1007/s00192-012-1798-8. Epub 2012 May 17.
4
Vesicouterine fistula: an updated review.膀胱子宫瘘:最新综述
Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(5):252-6. doi: 10.1007/BF01901500.