Mason术治疗复发性直肠阴道瘘13例分析  

Mason surgical treatment of recurrent rectovaginal fistula in 13 cases

作　　者：王振峰[1] 耿爱芝[1] 张波[1] 贾树范[1] 肖毅[2] 

机构地区：[1]山东省聊城市第二人民医院普外科,山东临清252601 [2]北京协和医院普外科

出　　处：《中国医师进修杂志》2010年第26期34-36,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：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。Objective To investigate the surgical strategy of recurrent rectovaginal 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 colostumy and Mason operation in different period could significantly enhance the successful operation rate.

关 键 词：直肠阴道瘘 Mason术 

分 类 号：R65[医药卫生—外科学]