She Zhanfei, Lyu Yi
Department of Hepatobiliary Surgery, The First Affiliated Hospital, Xi'an Jiaotong University, Xi'an 710061, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2014 Dec;17(12):1250-4.
Treatment of rectovaginal fistula (RVF) is extremely difficult. Successful performing operation to treat RVF is a major challenge, because recurrence has remained common. RVF has significant negative influence on the patient's quality of life and causes social embarrassment. Up to now, no standard surgical technique is accepted worldwide, no ideal treatment option is suitable for all the patients, and no recommendation of clinical treatment guideline of RVF is available. English literatures were reviewed in this article, from the causes of rectovaginal fistula, classification, diagnosis, surgical methods, surgical approach, minimally invasive technology application, perioperative management and the cause of operation failure aspects were reviewed in detail.
直肠阴道瘘(RVF)的治疗极其困难。成功实施治疗RVF的手术是一项重大挑战,因为复发仍然很常见。RVF对患者的生活质量有重大负面影响,并会导致社会尴尬。到目前为止,全球尚未接受标准的手术技术,没有理想的治疗方案适用于所有患者,也没有RVF临床治疗指南的推荐。本文对英文文献进行了综述,从直肠阴道瘘的病因、分类、诊断、手术方法、手术入路、微创技术应用、围手术期管理以及手术失败原因等方面进行了详细阐述。