Givel J C, Hawker P, Allan R N, Alexander-Williams J
Surg Gynecol Obstet. 1982 Oct;155(4):494-6.
Our experience in the management of 16 enterovaginal fistulas complicating Crohn's disease leads us to believe that such fistulas usually arise from active rectal disease and, despite being evident clinically, are difficult to confirm endoscopically or radiologically. Patients with few symptoms can be managed conservatively. Surgical repair protected by diversion may have a place in management, but most with severe symptoms will require excision of the intestine from which the fistula is arising.
我们对16例并发克罗恩病的肠阴道瘘的治疗经验使我们相信，此类瘘管通常源于直肠的活动性病变，尽管临床上很明显，但在内镜检查或放射学检查中却难以确诊。症状轻微的患者可采用保守治疗。通过转流术进行保护的手术修复在治疗中可能有一定作用，但大多数症状严重的患者需要切除产生瘘管的肠道。
