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非洲某医院80例妇女尿瘘分析
A CLINICAL ANALYSIS OF 80 CASES OF URINARY FISTULA IN WOMEN OF A HOSPITAL IN AFRICA
【摘要】 本文分析了非洲某医院妇女尿瘘80例,占该医院同期妇科手术病人的32.2%。漏尿原因均系分娩损伤所致,多见于经产妇。尿瘘类型以胱膀阴道瘘最多,占87.5%。手术全用阴式修补术,总解剖治愈率为88.8%。5例手术修补失败的主要原因是性病合并普通感染。
【Abstract】 An anlysis of 80 cases of urinary fistula in women of a hospital in Africa is presented. Fistula resections accounted for 32. 2% of all gynecological operations performed during the same period in the Hospital. There were three causes. (1) due to trauma during parturition; (2) due to early marriage. The underdeveloped genital organ might lead to dystocia; (3) due to resection of clitoris done on young girls in this area. The narrowing of the introitus would lead to difficulty in labour. 63.8% of the patient were multiparas. The main type of fistula was vesicovaginal fistula, (87.5%).All patients with fistula were performed operations of vaginal repair. The total anatomical cure rate was 88.8%. The failure of operative repair in 5 cases were largely due to complicated venereal disease with common infection.
- 【文献出处】 湖南医学院学报 , 编辑部邮箱 ,1985年01期
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