CAJ | 학술논문

目的探讨复发性直肠阴道瘘的手术治疗经验.方法回顾性分析2001年12月至2008年12月收治的13例复发性直肠阴道瘘患者的病因及治疗情况.结果 13例患者全部采用一期横结肠转流性造口术,二期Mason术修补,三期造口还纳术治疗.全部治愈,随访4～84个月,无一例复发.结论复发性直肠阴道瘘经多次手术治疗后局部组织血供不佳,瘢痕严重,选择恰当的手术时机,充分的术前准备,分期应用横结肠去功能性造口+Mason术可显著提高手术成功率.
목적 탐토복발성직장음도루적수술치료경험.방법 회고성분석2001년12월지2008년12월수치적13례복발성직장음도루환자적병인급치료정황.결과 13례환자전부채용일기횡결장전류성조구술,이기Mason술수보,삼기조구환납술치료.전부치유,수방4～84개월,무일례복발.결론 복발성직장음도루경다차수술치료후국부조직혈공불가,반흔엄중,선택흡당적수술시궤,충분적술전준비,분기응용횡결장거공능성조구+Mason술가현저제고수술성공솔.
Objective To investigate the surgical strategy of recurrent rectuvaginal fistula. Methods Retrospectivly analyzed the clinical data of 13 patients with recurrent rectovaginal fistula from December 2001 to December 2008. The etiopathogenisis and the ways of treatment were analyzed. Results All the 13 patients with a transverse colostomy surgical repaired with Mason operation in the secondary intention,and recepted closure of colostomy in the third intention for treatment, all patients were cured. No recurrent fistula was identified with postoperative follow-up 4 - 84 months. Conclusions After recurrent rectovaginal fistula with multiple surgical treatment,the blood supply of local tissue is poor,the scar is serious. Selecting the appropriate timing of operation, adequate preoperative preparation, the application of transverse colostomy and Mason operation in different period could significantly enhance the successful operation rate.