我院自1980～1990年11年间,采用球海绵体肌脂肪瓣移植修补复杂尿瘘18例,收到较好效果。现介绍如下.临床资料18例复杂尿瘘中,膀胱阴道瘘6例(瘘孔直径超过3cm,或输尿管开口接近瘘孔边缘0.5cm 以内,或瘘孔虽未超过3cm,但瘘孔紧贴耻骨弓后方或深入侧穹窿不易暴露);尿道阴道瘘(瘘孔直径超过1cm 者)2例;尿粪联合瘘1例;曾经修补失败者5例;阴道疤 Our hospital from 1980 to 1990, 11 years, the ball of myomectomegia flap repair 18 cases of complex urinary fistula, received good results. Clinical data 18 cases of complex urinary fistula, vesicovaginal fistula in 6 cases (fistula diameter of more than 3cm, or ureteral openings near the edge of the fistula within 0.5cm, or although not more than 3cm fistula, fistula hole close to the pubic bone Rear or deep side of the dome is not easy to expose); urethral fistula (fistula diameter more than 1cm) in 2 cases; urinary fecal fistula in 1 case; once failed to repair 5 cases; vaginal scar