White A J, Buchsbaum H J, Blythe J G, Lifshitz S
Obstet Gynecol. 1982 Jul;60(1):114-8.
Radiation-induced fistulas of the vagina are rare, occurring in only 1 of 3% of patients treated for cancer of the uterine cervix. Primary surgical repair of these fistulas is usually unsuccessful because the defect is a result of devascularization. This type of radiation injury results from endarteritis obliterans, and successful repair requires an accessory blood supply. From 1971 to 1980, the authors performed 14 Martius procedures on 12 patients with radiation-induced rectovaginal fistulas. Eleven patients had successful closure of their fistulas using this procedure, and no operative complications occurred. The Martius procedure is effective for most radiation-induced vaginal fistulas, and the operation is well tolerated by most patients.
放射性阴道瘘很少见，仅发生在3%的宫颈癌治疗患者中。这些瘘管的一期手术修复通常不成功，因为缺损是血管化缺失的结果。这种类型的放射性损伤是由闭塞性动脉内膜炎引起的，成功修复需要有额外的血液供应。1971年至1980年，作者对12例放射性直肠阴道瘘患者进行了14次马蒂厄手术。11例患者通过该手术成功闭合了瘘管，且未发生手术并发症。马蒂厄手术对大多数放射性阴道瘘有效，大多数患者对该手术耐受性良好。
