22例直肠阴道瘘的个体化手术方式选择的治疗经验  

Selection of individuated operative procedure of rectovaginal fistula in 22 cases

作　　者：程延东[1] 黄影蓓 

机构地区：[1]广州市花都区胡忠医院外科,510800 [2]广州市花都区胡忠医院妇产科,510800

出　　处：《岭南现代临床外科》2005年第3期188-189,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨直肠阴道瘘的手术治疗经验。方法将22例直肠阴道瘘分为高位瘘、中低位瘘和复发瘘,而分别采用经肛门结肠拖下术,直肠粘膜游离瓣修补术和经会阴体瘘管切除直肠阴道修复术。结果22例患者均获痊愈,无需结肠造瘘。随访1～11年,无复发。结论直肠阴道瘘形式复杂,个体化手术方式的正确选择、恰当的手术时机、充分的术前准备以及加强术后管理是手术成败的关键。Objective To summarize the experience in the operative treatment of rectvaginal fistula.Method Form January 1993 to March 2005, 22 cases with rectovaginal fistula were divided into high fistula,middle low fistula and recurrent fistula and trans-anal colon drawing,repair of rectomucosal free flap and trans-perineal body fistulectomy were performed respectively.Results 22 cases were cured.The colostomy was not necessary.With follow-up from 1～11 years, no recurrence was found.Conclusion The manifestation of recto-vaginal fistula is very complex.Successful keys to operation are correct choice of individuated surgical procedures,suitable operative timing,enough preoperative preparation and intensive postoperative management.

关 键 词：直肠阴道瘘 手术 治疗 

分 类 号：R635[医药卫生—外科学]