Brandt F T, Lorenzato F R, Albuquerque C D
Department of Urology, Universidade Federal de Pernambuco, Recife, Brazil.
J Am Coll Surg. 1998 Jun;186(6):645-8. doi: 10.1016/s1072-7515(98)00129-x.
We evaluated the efficacy of the bladder mucosa autograft technique in the treatment of vesicovaginal fistula.
During 15 years, 80 women with vesicovaginal fistula after gynecologic surgery for benign disease were treated by interposition of a bladder mucosa autograft in the fistulous tract within 1-3 months of its genesis.
The success rate of this surgical intervention was 96.3%. There was no late failure.
Bladder mucosa autograft interposition seems to be an excellent therapy for closing vesicovaginal fistulas. It appears to be more physiologic and easier to perform when compared with other transabdominal techniques. Early intervention proved to be efficacious and to improve the woman's quality of life.
我们评估了膀胱黏膜自体移植技术治疗膀胱阴道瘘的疗效。
在15年期间，80例因良性疾病接受妇科手术后发生膀胱阴道瘘的女性患者，在瘘管形成后1至3个月内，通过在瘘管内植入膀胱黏膜自体移植物进行治疗。
该手术干预的成功率为96.3%。无晚期失败病例。
膀胱黏膜自体移植植入术似乎是闭合膀胱阴道瘘的一种极佳治疗方法。与其他经腹技术相比，它似乎更符合生理且操作更简便。早期干预被证明是有效的，并能改善患者的生活质量。
