直肠黏膜瓣内口修补术  

TRANSANAL RECTAL ADVANCEMENT FLAP

作　　者：李升明[1] 

机构地区：[1]湖北省十堰市东风汽车公司花果医院肛肠科,442049

出　　处：《大肠肛门病外科杂志》2002年第2期96-97,共2页Journal of Coloproctological Surgery

摘　　要：目的 :评价经肛直肠黏膜瓣内口修补术 (Transanal rectal advancement flap TRAF)治疗高位肛瘘的价值。方法 :回顾性分析 2 3例高位肛瘘病例 TRAF术后 ,远期治愈率、复发率、肛门失禁率并与同期文献比较。结果 :2 3例患者全部治愈 ,其中 1例伤口感染经换药 2周后痊愈 ,无复发和肛门失禁病例。与同期文献报道的挂线术术后远期治愈率、复发率、以及肛门失禁率比较差异有显著性意义。结论 :直肠黏膜瓣内口修补术作为一种新的保存肛门括约肌的手术方式具有治愈率高 ,复发率低、无肛门失禁的优势 。Objective: To evaluate the values of haling for high transsphincteric fistulas by transanal rectal advancement flap(TRAF) Methods: Twenty three patients with high transsphincteric fistulous treated with TRAF were reviewed and long term healing rates, recurence rate and rate of fecal incontinent were analysed retrospectively Results: Transanal rectal advancement flap was successful in 23 patients None of fistula recurrence and fecal incontinence Conclusion: Transanal rectal advancement flap as a new surgery technique has the advantage of high healing rate, low recurence and less sphincter damage

关 键 词：直肠黏膜瓣 内口修补术 肛瘘 肛瘘内口 手术方式 TRAF 

分 类 号：R657.16[医药卫生—外科学]