CAJ | 학술논문

目的：探讨医源性直肠阴道瘘的诊治体会。方法对15例医源性直肠阴道瘘患者的诊治进行回顾性分析。结果行转流性肠造口术后自行愈合者2例（13.3%），早期行直肠阴道瘘修补手术者2例（13.3%），行转流性肠造口术后再次行直肠阴道瘘修补手术者9例（60%），接受永久性造口者2例（13.3%），所有患者术后症状均明显好转。其中13例治愈，总治愈率87.7%（13/15）。结论医源性直肠阴道瘘的诊断虽然较容易，但须全面完整。其处理上需根据患者病情的分期、分型、分类等具体情况进行个体化治疗。
목적：탐토의원성직장음도루적진치체회。방법대15례의원성직장음도루환자적진치진행회고성분석。결과행전류성장조구술후자행유합자2례（13.3%），조기행직장음도루수보수술자2례（13.3%），행전류성장조구술후재차행직장음도루수보수술자9례（60%），접수영구성조구자2례（13.3%），소유환자술후증상균명현호전。기중13례치유，총치유솔87.7%（13/15）。결론의원성직장음도루적진단수연교용역，단수전면완정。기처리상수근거환자병정적분기、분형、분류등구체정황진행개체화치료。
Objective To explore the diagnosis and treatment experience of latrogenic rectovaginal fistula. Methods Clinical data of 15 patients with latrogenic rectovaginal fistula were analyzed retrospectively. Results 2 cases healed after in-transferring enterostomy, 2 cases accepted early stage of rectovaginal fistula repair surgery, 9 cases were treated by surgical re-pair after intestinal colostomy, 2 cases accepted permanent diverting stoma(loop transverse colostome). The clinical symptoms of all patients improved obviously. The overall cure rate of 15 patients accepted surgical treatment was 87.7%. Conclusion Al-though the diagnosis of latrogenic rectovaginal fistula is easy, it must be comprehensive and integrated. The treatment of latro-genic rectovaginal fistula requires individualized therapy according to the stage , type and classification of different patient.