Emmert C, Köhler U
Department of Obstetrics and Gynecology, University of Leipzig, Germany.
Arch Gynecol Obstet. 1996;259(1):19-24. doi: 10.1007/BF02505304.
Among 2096 patients treated for cervical cancer between 1985-1995, genital fistulas developed in 38 cases (1.8%). 16 patients were affected by rectovaginal, 13 patients had rectovesicovaginal and 9 patients had vesicovaginal fistulas. Median age at time of first presentation of the fistulas was 54.8 years. Fistula size ranged from 0.1 to 2.0 cm in diameter. Faecal or urinary leakage through the vagina (44.7%), bleeding (31.5%) and local pain (5.3%) were major clinical symptoms. 10 patients had surgery for the fistula, the remaining patients were managed conservatively.
在1985年至1995年间接受宫颈癌治疗的2096例患者中，有38例（1.8%）发生了生殖瘘。16例患者为直肠阴道瘘，13例为直肠膀胱阴道瘘，9例为膀胱阴道瘘。首次出现瘘管时的中位年龄为54.8岁。瘘管直径范围为0.1至2.0厘米。经阴道粪便或尿液漏出（44.7%）、出血（31.5%）和局部疼痛（5.3%）是主要临床症状。10例患者接受了瘘管手术，其余患者采用保守治疗。
