Ivanisević M, Krznar B, Sojat H, Martinac P, Majerović M, Zanić-Matanić D, Ivanisević B
Ginekoloska klinika, KBC, Medicinski fakultet Sveucilista u Zagrebu.
Lijec Vjesn. 1990 Jan-Feb;112(1-2):22-5.
In this paper, the authors present the definition, etiology, clinical features, diagnosis and preparations for the surgical treatment of colovaginal fistulas. A ten year experience with 11 female patients with colovaginal fistulas divided according to the causes is reviewed. The fistulas commonly resulted from the surgical treatment, radiotherapy, parturition injuries and Crohn's disease. In the discussion, each group is evaluated with respect to the therapeutic procedure giving some general remarks on this rare clinical condition. Besides the surgical treatment of the fistula, in most cases, the contemporary colostomy is required.
在本文中,作者介绍了结肠阴道瘘的定义、病因、临床特征、诊断以及手术治疗的准备工作。回顾了11例患有结肠阴道瘘的女性患者根据病因分类的十年经验。瘘管通常由手术治疗、放疗、分娩损伤和克罗恩病引起。在讨论中,对每组治疗方法进行了评估,并对这种罕见的临床病症给出了一些一般性评论。除了瘘管的手术治疗外,在大多数情况下,还需要进行同期结肠造口术。