摘要
目的探讨对反复多次修补失败的直肠阴道瘘的临床治疗对策。方法采用带血管蒂的全层肠片以及直肠推进瓣的方法，治疗经多次修补失败的直肠阴道瘘3例。结果采用全层肠片修补术1例，采用直肠推进瓣术治疗2例。患者因复发性直肠阴道瘘而行手术治疗的次数为2～9次，平均为（4．3±3．3）次。手术时间为3．3～6．8h，平均为（4．8±1．5）h，3例复发性直肠阴道瘘术后均获痊愈，大便1—2次／d，排便功能良好；随访4～20个月无复发。结论选择恰当的术式和手术时机是手术成功的关键。采用带血管蒂的全层肠片以及直肠推进瓣技术可明显提高手术成功率。
Objective To evaluate surgical therapy for recurrent rectovaginal fistula. Methods In this study, two patients were treated by endorectal advancement flap repair and one patient was treated by vascular pedicled segment of small bowel. Results All patients were cured and followed up from 4 to 20 months. During the period of follow-up there was no recurrence. Conclusions The procedures and timing of operation are important factors for a successful repair. Both the endorectal advancement flap and patch of intestine provide an effective methods in repairing recurrent rectovaginal fistula.
出处
《中华普通外科杂志》
CSCD
北大核心
2009年第2期111-113,共3页
Chinese Journal of General Surgery
关键词
直肠阴道瘘
再手术
推进瓣
Rectovaginal fistula
Reoperation
Advancement flap
