直肠阴道瘘的治疗：一项5年回顾

Treatment of rectovaginal fistula: a 5-year review.

作者信息

Casadesus Damian, Villasana Luis, Sanchez Ines M, Diaz Hector, Chavez Mariano, Diaz Angelina

机构信息

Coloproctology Department, Calixto Garcia University Hospital, J y Universidad, Vedado, Havana, Cuba.

出版信息

Aust N Z J Obstet Gynaecol. 2006 Feb;46(1):49-51. doi: 10.1111/j.1479-828X.2006.00514.x.

DOI:10.1111/j.1479-828X.2006.00514.x

PMID:16441694

Abstract

This paper presents a chart review of 17 patients who had been treated for rectovaginal fistula (RVF) from 1996 to 2000. In most cases (13; 76.5%), the fistula was the result of post-surgical complications. Following vaginal mucosa advancement flap repair or repair after conversion to a fourth-degree perineal laceration, 16 (94%) of the rectovaginal fistulae (during the first attempted repair or after failed treatment) were successfully treated. In all patients but one, faecal diversion was avoided. In two patients, fistulography was both a diagnostic procedure and the method of treatment.

摘要

本文对1996年至2000年间接受直肠阴道瘘（RVF）治疗的17例患者进行了图表回顾。在大多数病例（13例；76.5%）中，瘘是手术并发症所致。在进行阴道黏膜推进皮瓣修复或转为Ⅳ度会阴裂伤修复后，16例（94%）直肠阴道瘘（在首次尝试修复时或治疗失败后）得到成功治疗。除1例患者外，所有患者均避免了粪便改道。2例患者中，瘘管造影既是诊断手段也是治疗方法。