Lau T K, Wong W S
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, N.T.
Gynecol Oncol. 1994 Mar;52(3):411-2. doi: 10.1006/gyno.1994.1071.
Significant vaginal discharge of clear fluid after Wertheim-Taussig hysterectomy with bilateral salpingo-oophorectomy is most often due to urinary fistula. Rarely, the same symptom may be caused by lymphatic fistula, which has not been reported previously. The differentiation between lymph and urine is simple. If this rare complication is not suspected, patients may undergo unnecessary invasive diagnostic procedures of the urinary tract.
在施行 Wertheim-Taussig 子宫切除术及双侧输卵管卵巢切除术后出现大量清亮阴道流液，最常见的原因是尿瘘。很少见的情况下，同样的症状可能由淋巴瘘引起，此前尚无相关报道。淋巴液和尿液的鉴别很简单。如果未怀疑到这种罕见的并发症，患者可能会接受不必要的侵入性尿路诊断检查。
