先天性直肠阴道瘘的手术治疗  

Surgical Treatment of Congenital Rectovaginal Fistula

作　　者：苏志红[1] 王晓莉[1] 

机构地区：[1]兰州军区兰州总医院妇产科,甘肃兰州730050

出　　处：《中国伤残医学》2011年第4期16-17,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:总结先天性直肠阴道瘘的手术治疗经验。方法:1995年3月～2008年9月,收治先天性直肠阴道瘘11例,根据瘘管的部位与范围,分别采用瘘管切除、直接缝合术和瘘管切除、局部阴道黏膜瓣转移修复术治疗。结果:所有患者伤口均1期愈合,未发生任何并发症;术后6个月常规随访结果显示,修复处阴道黏膜光滑,感觉和运动正常,无复发。结论:根据瘘口的大小选择相应的手术治疗方法有助于提高手术成功率。Objective： To sum up the experience of surgical treatment of congenital rectovaginal fistula. Methods： FromMarch 1 995 to September 200 8, eleven cases of congenital rectovaginal fistulawere treated. According to the site and range of fistula, fistuleetomy and direct suture or transplantation of local mucosal flap from vagina were deleetedrespectively to treat rectovaginal fistula. Results：All incisions healed on the first stage without any complication appearred. The follow up results after six months post-operation showed that the mucosa of vagina was smooth, sensory and motor function were normal, and recurrence didn＇t occurred. Conclusion： It might be helpful to improve the successful rate of operat ion to select surgical method according to the area of fistula.

关 键 词：直肠阴道瘘 先天性畸形 手术治疗 

分 类 号：R711[医药卫生—妇产科学]