国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (4): 459-461.

• 论著 • 上一篇    下一篇

对陈旧性宫颈阴道瘘治疗的探讨

钟森，郎景和   

  1. 100730 中国医学科学院 北京协和医学院 北京协和医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-15 发布日期:2014-08-15

Management of Cervicovaginal Fistulas with Different Methods According to Individual Conditions

ZHONG Sen, LANG Jing-he   

  1. Department of Obstetrics and Gynecology，Peking Union Medical College Hospital，Chinese Academy of Medical Science & Peking Union Medical College，Beijing 100730，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-15 Online:2014-08-15

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摘要： 目的：探讨提高不同情况的陈旧性宫颈阴道瘘患者的治疗成功率、缓解患者症状的方法。方法：对2000年9月—2013年12月北京协和医院妇产科收治住院并行手术治疗的15例陈旧性宫颈阴道瘘患者的临床资料、手术方式、手术效果及随诊情况进行回顾性总结和分析。结果：15例患者依据不同临床情况，采取不同治疗方式，其中行直接式单纯修补者4例，纵向切开式单纯修补者5例，宫颈部分截除+整形者4例，子宫全切者2例。均达到满意的治疗效果。 其中仅1例因复发而再次手术，其余14例患者未再复发或再次出现相关的阴道分泌物增多、不规则出血等症状。结论：针对不同情况的患者，采用不同的治疗方案，对于缓解患者症状，降低复发有很好的效果。

关键词: 子宫颈, 瘘, 阴道瘘, 妊娠中期, 引产, 治疗

Abstract: Objective：It focuses on how to improve the success rate of treatment of long -standing cervico-vaginal fistulas in different conditions and to relief the patients′ symptoms. Methods: We analysed 15 cases registered and treated in Peking Union Medical College Hospital from September 2000 to October 2013, on their clinic conditions, surgery methods, effectiveness and follow-up. Results: According to the patients′ individual conditions, 15 patients received different treatments respectively. Among 15 cases, 4 cases received directly-simple-repair, 5 cases received longitudinal-incision-repair, 4 cases received amputation and deformation of cervix , and 2 cases received hysterectomy. Only one case needed reoperation for relapse, the other 14 patients didn′t relapse or recomplain for those related symptoms as abnormal vaginal bleeding and vaginal secretions. Conclusions: According to individual conditions, it can improve the success rate of treatment and relief the patients′ symptoms greatly by adopting different treatment.

Key words: Cervix uteri, Fistula, Vaginal fistula, Pregnancy trimester, second, Labor, Therapy