改良经直肠修补术治疗女童后天性直肠前庭瘘30例

Modified classic transrectal approach to repair acquired rectovestibular fistula in female infants

目的:总结30例改良经直肠修补术治疗女童后天性直肠前庭瘘的手术经验。方法:回顾性分析我院2001年6月至2004年6月收治的后天性直肠前庭瘘30例患儿的临床资料,手术年龄6个月至9岁(平均3.05岁),均采用改良经直肠修补术治疗瘘管,手术后所有病人随访6个月到2年。结果:术后痊愈29例,手术成功率96.7%,瘘管复发1例,用0.125%高锰酸钾溶液坐浴10d后,自行愈合,随访期间无复发。结论:改良经直肠修补女童前庭瘘是一种简单、可靠的手术方法。

Objective To summarize the modified operation experience of the transrectal approach to repair acquired rectovestibular fistula. Methods Thirty cases of acquired rectovestibular fistula were analysed retrospectively. The etiology and the operative procedure were discussed. Results In our literature series,29 patients recovered after operation,surgical effective rate was 96.7%. Conclusions the modified classic transrectal approach is a feasible technique to treat acquired rectovestibular fistula in femaleinfants.