Afriat R, Casanova J M, Bercau G, Sauvanet E, Freund M, Bidat L, Trocellier I
Service de Gynécologie-Obstétrique, Hôpital Notre-Dame-du-Bon-Secours, Paris.
J Gynecol Obstet Biol Reprod (Paris). 1997;26(6):637-40.
We report a vesico-uterine fistula occurring after vaginal delivery in a woman with previous cesarean section. Diagnosis of this rare complication, only 2 cases reported in the literature, is based on clinical findings and retrograde cystography. Medical treatment should be attempted first, but laparotomy is often required for resection of the fistula and simple suture of the bladder and the uterus.
我们报告了一例既往有剖宫产史的女性在阴道分娩后发生膀胱子宫瘘的病例。这种罕见并发症（文献中仅报道过2例）的诊断基于临床发现及逆行膀胱造影。应首先尝试药物治疗，但通常需要进行剖腹手术以切除瘘管并对膀胱和子宫进行单纯缝合。
