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1973—1983年10中,840例膀胱瘘手术,其中9例为膀胱子宫瘘,发生率占膀胱瘘1％,9例中3例难产时子宫和膀胱破裂,6例做过剖腹产术。症状常有,氨嗅,外阴尿浸溃和皮炎。全部病人立即出现尿失禁。4例由于月经流入膀胱有周期性血尿,同时有尿失禁。2例有闭经,尿失禁,无月经尿。2例有尿失禁,但也可由自主排出不少尿液。诊断:阴道窥器检查未见膀胱阴道瘘,而见尿液经宫颈流出,麻醉下检查,经尿道滴注稀释的亚甲兰溶液,见染料通过子宫颈口出现在阴道。术中见4例瘘位于宫颈管内口下方。3例在宫颈和峡部。2例在宫体下部和峡部,并且均在颈管内口上方。治疗和结果:除在剖产腹或破裂子宫进行修复时
Between 1973 and 1983, 840 cases of bladder fistula surgery, of which 9 cases were bladder uterine fistula, the incidence of 1% of the bladder fistula, 9 cases in 3 cases of dystocia and bladder rupture, 6 cases had a cesarean section. Symptoms often, ammonia smell, diuretic diarrhea and dermatitis. All patients immediately urinary incontinence. 4 cases due to menstrual flow into the bladder with periodic hematuria, urinary incontinence at the same time. 2 cases of amenorrhea, incontinence, no menstrual urine. 2 cases of urinary incontinence, but can also be a lot of spontaneous discharge of urine. Diagnosis: vaginal speculum examination no vesico-vaginal fistula, and see the urine through the cervix, under anesthesia, transdermal instillation diluted methylene blue solution, see the dye through the cervix in the vagina. See 4 cases of fistula in the cervix under the mouth. 3 cases in the cervix and isthmus. 2 cases in the lower part of the palace and the isthmus, and are above the mouth of the neck canal. Treatment and results: In addition to the abdomen or rupture of the uterus for repair