中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2009年
2期
111-113
,共3页
林谋斌%尹路%李亚芬%侍庆%陈伟国
林謀斌%尹路%李亞芬%侍慶%陳偉國
림모빈%윤로%리아분%시경%진위국
直肠阴道瘘%再手术%推进瓣
直腸陰道瘺%再手術%推進瓣
직장음도루%재수술%추진판
Rectovaginal fistula%Reoperation%Advancement flap
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3.3～6.8 h,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.
目的 探討對反複多次脩補失敗的直腸陰道瘺的臨床治療對策. 方法 採用帶血管蒂的全層腸片以及直腸推進瓣的方法 ,治療經多次脩補失敗的直腸陰道瘺3例.結果 採用全層腸片脩補術1例,採用直腸推進瓣術治療2例.患者因複髮性直腸陰道瘺而行手術治療的次數為2～9次,平均為(4.3±3.3)次.手術時間為3.3～6.8 h,平均為(4.8±1.5)h,3例複髮性直腸陰道瘺術後均穫痊愈,大便1～2次/d,排便功能良好;隨訪4～20箇月無複髮.結論 選擇恰噹的術式和手術時機是手術成功的關鍵.採用帶血管蒂的全層腸片以及直腸推進瓣技術可明顯提高手術成功率.
목적 탐토대반복다차수보실패적직장음도루적림상치료대책. 방법 채용대혈관체적전층장편이급직장추진판적방법 ,치료경다차수보실패적직장음도루3례.결과 채용전층장편수보술1례,채용직장추진판술치료2례.환자인복발성직장음도루이행수술치료적차수위2～9차,평균위(4.3±3.3)차.수술시간위3.3～6.8 h,평균위(4.8±1.5)h,3례복발성직장음도루술후균획전유,대편1～2차/d,배편공능량호;수방4～20개월무복발.결론 선택흡당적술식화수술시궤시수술성공적관건.채용대혈관체적전층장편이급직장추진판기술가명현제고수술성공솔.
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.
