Gerber G S, Schoenberg H W
Department of Surgery, University of Chicago Pritcker School of Medicine, Illinois.
J Urol. 1993 Feb;149(2):229-36. doi: 10.1016/s0022-5347(17)36045-7.
Urinary tract fistulas in women are an uncommon complication of a variety of surgical procedures. However, such fistulas lead to significant patient and physician distress, and have important medicolegal implications. Successful repair of urinary tract fistulas requires careful preoperative evaluation and adherence to basic surgical principles. A variety of approaches and techniques may be used, and the choice of procedure is less important than achieving adequate resection of fibrosis with watertight, tension-free closure of well vascularized tissues in layers. Interposition grafts of omentum, muscle, peritoneum and labial fat may be used in recurrent, complicated or radiated fistulas, and add significantly to the rate of success. Overall, successful repair of urinary tract fistulas can be achieved in the majority of cases.
女性尿路瘘是各种外科手术中不常见的并发症。然而，此类瘘管会给患者和医生带来极大困扰，并具有重要的法医学意义。成功修复尿路瘘需要仔细的术前评估并遵循基本的外科原则。可采用多种方法和技术，手术方式的选择不如充分切除纤维化组织并分层对血运良好的组织进行无张力、水密性缝合重要。网膜、肌肉、腹膜和阴唇脂肪的置入移植可用于复发性、复杂性或放射性瘘管，能显著提高成功率。总体而言，大多数情况下尿路瘘都能成功修复。
