York-Mason法治疗尿道直肠瘘10例报告  

York-Mason procedure for urethrorectal fistula:A report of 10 cases

作　　者：姜海[1] 毛祺琦[1] 方家杰[1] JIANG Hai;MAO Qi-qi;FANG Jia-jie(Department of Urology,The First Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou,Zhejiang 310003,China)

机构地区：[1]浙江大学医学院附属第一医院泌尿外科,浙江杭州310003

出　　处：《中华男科学杂志》2021年第5期433-436,共4页National Journal of Andrology

摘　　要：目的:探讨York-Mason法治疗尿道直肠瘘的疗效。方法:10例确诊的男性尿道直肠瘘患者,年龄15~80岁,平均54岁。其中先天性肛门闭锁、行肛门成形术后3例,腹腔镜前列腺根治性切除术后5例,直肠癌根治术后2例。病史3个月至18年,所有患者均为单一瘘口。术前行肠造口6例。结果:所有患者均行York-Mason法修补术,修补手术时间平均104 min。围手术期无并发症,一次修补成功9例,二次修补成功1例,术后平均住院天数7 d,随访6~90个月无复发。结论:York-Mason法治疗尿道直肠瘘手术成功率高,且具有创伤小、手术时间短、恢复快的优点,值得临床上应用推广。Objective:To evaluate the effect of the York-Mason procedure(posterior sagittal approach)in the treatment of urethrorectal fistula.Methods:Ten 15-80(mean 54)years old male patients with urethrorectal fistula were treated by the York-Mason procedure,3 by anoplasty for congenital anal atresia,5 by laparoscopic radical prostatectomy,and the other 2 by radical rectal cancer resection.All the cases were single fistula with a history of 3 months to 18 years.Enterostomy was performed in 6 of the cases before the York-Mason procedure.Results:The York-Mason procedure lasted 90-130(mean 104)minutes,with no perioperative complications.Nine of the cases were successfully repaired in the first surgery and 1 in the second.The patients were discharged after an average of 7 hospital days postoperatively and followed up for 6-90 months without recurrence.Conclusion:The York-Mason procedure is a reliable and effective option for the treatment of urethrorectal fistula,with the advantages low morbidity,short operation time and fast recovery.

关 键 词：尿道直肠瘘 外科修补 经括约肌 瘘管 

分 类 号：R695.1[医药卫生—泌尿科学]