经会阴入路联合球海绵体肌间置修补直肠尿道瘘。
Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula.
机构信息
Colorectal Eporediensis Centre, Gruppo Policlinico di Monza, Divisione di Chirurgia Colorettale, Clinica Santa Rita, Vercelli, Italy.
出版信息
Colorectal Dis. 2013 Mar;15(3):e138-43. doi: 10.1111/codi.12091.
AIM
The results of repair of recto-urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft.
METHOD
Prospectively collected data were reviewed on 11 patients with RUF operated on between 2003 and 2011. Of these, six were treated by a bulbocavernosus flap. Two RUF had occurred after prostatectomy, three after prostatectomy and radiotherapy and one after perineal trauma; all had a urinary diversion.
RESULTS
Closure of the fistula was achieved in all patients and was maintained for the duration of the period of follow up (mean ± SD = 43.5 ± 24.7 months; range, 8-80 months) There were no complications.
CONCLUSION
This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.
目的
本研究旨在使用球海绵体肌瓣修复直肠-尿道瘘（RUF），并报告其修复效果。
方法
回顾性分析 2003 年至 2011 年间收治的 11 例 RUF 患者的临床资料。其中，6 例患者采用球海绵体肌瓣修复，2 例患者为前列腺切除术后，3 例为前列腺切除术后联合放疗，1 例为会阴创伤后，所有患者均伴有尿流改道。
结果
所有患者的瘘口均成功关闭，随访期间（平均 43.5 ± 24.7 个月，范围 8-80 个月）均未出现复发。无并发症发生。
结论
该修复技术安全有效，尤其是对于复杂的放射性 RUF 患者。
Zotero 插件