Haylen B T, Cerqui A J, Meagher A P
Department of Gynaecology, St Vincent's Hospital, Darlinghurst, New South Wales.
Aust N Z J Obstet Gynaecol. 1999 Feb;39(1):131-3. doi: 10.1111/j.1479-828x.1999.tb03465.x.
We present a case of a rectovaginal fistula which was revealed as an incidental finding at the time of posterior colporrhaphy. We describe a previously unreported 5-layer repair through a vaginal approach in preference to the more frequently reported approaches of endoanal flap or conversion to a fourth degree tear. The diagnosis and management of rectovaginal fistulas is discussed.
我们报告一例直肠阴道瘘病例,该病例在阴道后壁修补术时偶然发现。我们描述了一种此前未报道过的经阴道五层修补术,相较于更常报道的经肛门皮瓣修补术或转为四度撕裂修补术,我们更倾向于采用这种方法。文中还讨论了直肠阴道瘘的诊断与处理。