Hesterberg R, Schmidt W U, Müller F, Röher H D
Department of General and Trauma Surgery, Heinrich-Heine-Universität Düsseldorf, Germany.
Int J Colorectal Dis. 1993 Mar;8(1):51-4. doi: 10.1007/BF00341278.
We report on a new and simple operative technique for closure of anovaginal fistulas with an anocutaneous flap in patients with Crohn's disease. From January 1989 till December 1990 this operation was performed in 10 women with Crohn's disease. Seven of the ten patients suffered from Crohn's proctitis. In these patients a protective enterostomy was applied before the operative closure of the fistula. All fistulas healed primarily. Within a median follow up of 18 months (7-24 months) a relapse occurred in 3 patients; two of these were treated successfully with fibrin injection in one case and a further operative closure of the fistula using the same procedure in the second case. In the third patient a seton was placed into the recurrent fistula track, which is still present after 4 weeks.
我们报告一种用于克罗恩病患者采用肛门皮瓣闭合直肠阴道瘘的新的简单手术技术。1989年1月至1990年12月，对10例克罗恩病女性患者实施了该手术。10例患者中有7例患有克罗恩直肠炎。在这些患者中，在手术闭合瘘管之前进行了保护性肠造口术。所有瘘管均一期愈合。在中位随访18个月（7 - 24个月）时，3例患者复发；其中2例，1例经纤维蛋白注射成功治疗，另1例采用相同手术方法再次手术闭合瘘管。第3例患者在复发的瘘管通道中置入了引流管，4周后仍存在。
