我院自1970年到1980年共收治尿瘘105例,手术成功率:简单痰94.12％,复杂最复杂痰76.06％。现将治疗体会简介如下。一、术前仔细检查瘘孔,认真设计手术方案:取胸膝卧位,查瘘孔部位、大小、形态、组织损伤情况、疤痕程度、尿道长度、瘘缘和输尿管口距离,并特别注意有无膀胱宫颈阴道瘘和多发性尿瘘的存在。在无膀胱镜检查的条件下,可用金属导尿管或子宫探针沿宫颈由上而下向前探查有无瘘孔,必要时由尿道管往入美蓝,同时变动宫颈位置,观察宫口有无美蓝液流出,经周密细致检查后,再认真设计手术方案。二、术式体位选择:取俯卧弯腿、臀部抬高位,经阴道修补由产伤引起的中位、低位以及部分高位瘘较好,有以下几个优点:(1)术野暴露 In our hospital from 1970 to 1980 were treated 105 cases of urinary fistula, the success rate of surgery: simple sputum 94.12%, complex most complex sputum 76.06%. Now the treatment experience is as follows. First, carefully check the preoperative fistula hole, carefully designed surgical options: chest chest supine position, check the fistula site, size, shape, tissue damage, scar extent, urethral length, fistula and ureter mouth distance, and with particular attention to No bladder cervical vaginal fistula and multiple urinary fistulas exist. In the absence of cystoscopy conditions, available metal catheter or uterine probe along the cervix from top to bottom to explore the presence or absence of fistula, if necessary, by the urethral tube into the blue, while changing the cervix position, observe the cervix Whether the United States blue liquid outflow, careful and detailed inspection, and then carefully designed surgical options. Second, the surgical position options: Take the prone bend legs, raised hip, transvaginal repair by the trauma caused by the median, low and some high fistula better, has the following advantages: (1) surgical field exposure