临床泌尿外科杂志2024，Vol.39Issue(12) ：1095-1097,1102.DOI:10.13201/j.issn.1001-1420.2024.12.013

多入路辅助经膀胱单孔腹腔镜修补膀胱阴道瘘的临床效果

Clinical efficacy of single port laparoscopic repair of bladder vaginal fistula by multiple surgical approaches

段海峰 夏慧 夏明 罗新贵 杨建昆 刘存东 薛康颐
临床泌尿外科杂志2024，Vol.39Issue(12) ：1095-1097,1102.DOI:10.13201/j.issn.1001-1420.2024.12.013
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  • NETL
  • NSTL
  • 万方数据

多入路辅助经膀胱单孔腹腔镜修补膀胱阴道瘘的临床效果

Clinical efficacy of single port laparoscopic repair of bladder vaginal fistula by multiple surgical approaches

段海峰 1夏慧 1夏明 1罗新贵 1杨建昆 1刘存东 1薛康颐1
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作者信息

  • 1. 南方医科大学第三附属医院泌尿外科(广州,510000)
  • 折叠

摘要

目的:探讨多入路辅助经膀胱单孔腹腔镜修补膀胱阴道瘘手术的安全性及有效性.方法:回顾性收集分析2019年9月—2024年1月于南方医科大学第三附属医院行经膀胱单孔腹腔镜手术的5例膀胱阴道瘘患者的临床资料,详细记录手术操作过程及临床效果.结果:5例患者均采用经阴道辅助的方式进行修剪坏死组织.1例患者因腹腔镜缝合困难,采用经尿道方式缝合.术中出血量20～60 mL,手术时间1.5～2.0 h.分别随访2.7、2.4、1.5、1.0、0.7年,5例患者均一期修复成功.围手术期均未出现周围脏器损伤、切口感染等并发症.1例患者因放射性膀胱炎引起小容量膀胱,术后有尿频症状;余4例患者无明显排尿症状.结论:多入路辅助经膀胱单孔腹腔镜修补膀胱阴道瘘是切实有效的,而且手术操作简单、创伤小、成功率高,为膀胱阴道瘘的手术治疗提供了新的选择.

Abstract

Objective:To explore the safety and clinical efficacy of single port laparoscopic repair of bladder va-ginal fistula by multiple surgical approaches.Methods:We retrospectively collected and analyzed clinical data of 5 patients with bladder vaginal fistula who underwent transvesical single port laparoscopic surgery at the Third Af-filiated Hospital of Southern Medical University from September 2019 to January 2024.The surgical procedure and clinical outcomes were recorded in detail.Results:All 5 patients underwent transvaginal assisted pruning of necrotic tissues.One patient underwent transurethral suturing because of the difficulty in laparoscopic suturing.The intraoperative bleeding volume was about 20-60 mL,and the surgical time was 1.5-2.0 hours.The five patients were followed up for 2.7,2.4,1.5,1.0,and 0.7 years,respectively.They were all successfully re-paired.There were no severe complications such as peripheral organ damage or incision infection.One patient had a small volume bladder caused by radiation cystitis and had urinary frequency.The remaining 4 patients had no ob-vious urinary symptoms.Conclusion:Multi-approach assisted single port laparoscopic repair of bladder vaginal fis-tula is practical and effective.The surgical operation is simple,minimally invasive,and has a high success rate,providing a new choice for the surgical treatment of bladder vaginal fistula.

关键词

膀胱阴道瘘/单孔腹腔镜/经膀胱入路/经尿道辅助/经阴道辅助

Key words

bladder vaginal fistula/single port laparoscopy/transvesical approach/transurethral assistance/transvaginal assistance

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出版年

2024
临床泌尿外科杂志
华中科技大学同济医学院附属协和医院 同济医院

临床泌尿外科杂志

CSTPCD
影响因子：0.734
ISSN：1001-1420
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