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首页> 外文期刊>Nepal Journal of Obstetrics and Gynaecology >Endourological Management of Iatrogenic Ureterovaginal Fistula following Obstetric and Gynecological Surgeries at Tertiary Referral Center
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Endourological Management of Iatrogenic Ureterovaginal Fistula following Obstetric and Gynecological Surgeries at Tertiary Referral Center

机译：高等教育中心产科和妇科手术治疗术尿辨官瘘的宿舍管理

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Aims: To evaluate the outcome of endourological management of iatrogenic ureterovaginal fistula caused by gynecological and obstetric surgeries. Methods: This is a retrospective analysis of uretorovaginal fistula (UVF) patients who underwent UVF management with endourology technique from February 2014 to November 2019. All data were taken from fistula database. All non-obstetric/gynaecological cases and open surgical procedures leading to UVF were excluded. Diagnostic evaluation by cystoscopy and ureterorenoscopy; and use of guide wire, C-arm and DJ stent were recorded. Three to six months post-operative follow up status was also recorded. Results: There were 14 cases managed by retrograde DJ stenting. Both hysterectomy (n=10) and Cesarean Sections (n=4) were the past surgeries. Diagnosis was made by history, methylene blue test, cystoscopy, intravenous urography and CT urogram. Treatment was retrograde DJ stenting. All of them had unilateral distal ureteric injury close to vesicoureteric junction leading to ureterovaginal fistula. All were continent at the end. Conclusions: Endourological approach with retrograde DJ stenting had successful outcome in iatrogenic UVF.
机译：目的：评价妇科和产科手术引起的政治泌尿外节瘘的宿舍管理的结果。方法：这是从2014年2月到2019年11月接受UVF管理接受过UVF管理的UTetorovaginal Fistula（UVF）患者的回顾性分析。所有数据都是从瘘管数据库中取出的。所有非产科/妇科病例和通往UVF的开放手术程序都被排除在外。膀胱镜检查和输尿管镜诊断评估;记录了导线，C形臂和DJ支架的使用。还记录了三到六个月的操作后续行动状态。结果：逆行DJ支架有14起案例。子宫切除术（n = 10）和剖腹产（n = 4）是过去的手术。诊断是通过历史，亚甲基蓝试验，膀胱镜检查，静脉注射术和CT Urogram进行的。治疗是逆行DJ支架。所有这些都有单方面的远端输尿管损伤，靠近导致患有输尿管病瘘的杂散仪。最后一切都是大陆。结论：具有逆行DJ支架的宿舍方法在认可UVF中取得了成功的结果。

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