股薄肌转位术治疗复发性肛瘘和直肠阴道瘘
Transposition of gracilis muscle for treatment of recurrent anal and rectovaginal fistula.
作者信息
González-Contreras Quintín Héctor, Castañeda-Argáiz Roberto, Rodríguez-Zentner Homero Augusto, Tapia-Cid de León Héctor, Mejía-Ovalle Rabí Rabí, Espinosa-de Los Monteros Antonio
机构信息
Servicio de Cirugía de Colon y Recto, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", México, D.F., Mexico.
出版信息
Cir Cir. 2009 Jul-Aug;77(4):319-21; 297-9.
BACKGROUND
Rectovaginal fistula is defined as a result of an abnormal connection between the rectum and vagina. It is often a result of inflammatory bowel disease, iatrogenic illness, malignancy or trauma. Rectovaginal fistula treatment is dependent on the classification of the fistula (simple or complex). There are few reports on transposition of gracilis muscle as a feasible option for treatment of rectal, vaginal and urethral fistula.
CLINICAL CASES
We present the first three case experiences from the Instituto Nacional de Ciencias Medicas y Nutricion "Salvador Zubiran," a tertiary-care medical center in Mexico City.
CONCLUSIONS
Gracilis muscle transposition is a feasible procedure in our population for treatment of recurrent rectovaginal and anorectal fistulas.
背景
直肠阴道瘘被定义为直肠与阴道之间的异常连接。它通常是炎症性肠病、医源性疾病、恶性肿瘤或创伤的结果。直肠阴道瘘的治疗取决于瘘管的分类（简单或复杂）。关于将股薄肌转位作为治疗直肠、阴道和尿道瘘的可行选择的报道很少。
临床病例
我们展示了来自墨西哥城一家三级医疗中心——国家医学与营养科学研究所“萨尔瓦多·苏比兰”的前三例病例经验。
结论
在我们的人群中，股薄肌转位是治疗复发性直肠阴道瘘和肛门直肠瘘的可行手术。
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