作者共经治输尿管阴道瘘18例,均系妇科盆腔手术所致。现将诊疗体会报告如下。1 临床资料见附表 2 讨论2.1 诊断根据明确的手术史及典型的术后症状,输尿管阴道瘘的诊断应属不难。为进一步明确损伤的部位及进一步的手术方式的选择,可以做KUB+IVP检查及逆行输尿管肾盂造影,以确定患侧肾功能、输尿管损伤的详细位置及范围,便于术式的选择。2.2 治疗治疗方法主要为手术。具体术式需根据损伤的部位、程度、范围,患侧肾功能及损伤时间的 The author of a total of 18 cases of ureteroscopic fistula, are caused by gynecological pelvic surgery. The diagnosis and treatment will now report as follows. 1 Clinical data, see Schedule 2 Discussion 2.1 Diagnosis According to a clear history of surgery and typical postoperative symptoms, the diagnosis of ureteroscopic fistula should not be difficult. To further clarify the site of injury and further surgical options, you can do KUB + IVP examination and retrograde ureteroscopy to determine the ipsilateral renal function, ureteral injury in detail the location and scope of the operation to facilitate the choice. 2.2 Treatment The main treatment for surgery. Specific surgical procedures according to the site of injury, extent, range, ipsilateral renal function and injury time