直肠移动瓣修补先天性直肠阴道瘘

On Repairing Congenital Vagina Fistula by Removing Petal of Rectum

目的探讨直肠移动瓣修补先天性直肠阴道瘘的临床治疗效果。方法设计直肠移动瓣,充分游离移动瓣直肠粘膜,无张力修补直肠瘘口,且直肠壁缺损与阴道壁缺损分别关闭,缝合不在同一水平面上。结果12例患者经手术治疗均治愈,随访1年～9年,无复发、肛门失禁并发症。结论对于低位先天性直肠阴道瘘,直肠移动瓣修补术疗效确切,值得推广,术前充分肠道准备、术中规范操作对保证手术成功至关重要。

Objective This paper explores the clinical treatment results by means of removing petal of rectum to repair congenital vagina fistula. Methods First, design the removable petal of rectum, free its mucosa completely and repair the mouth of rectum fistula without intense force. Close the deficiency of rectum wall as well as vagina wall respectively and sew them up at different levels. Results Twelve cases were successfully treated and cured by operation. They were paid a follow-up visit to for 1 to 9 years. There was no recurrences of that disease and no symptoms of incontinence of anus among them. Conclusion The treatment for the low-level congenital rectum vagina fistula by removing petal of rectum is proved to be successful. This way of treatment can be popularized. It' s crucial to the success of operation to have sufficient preparations for intestinal tract before operation and standardize the manipulations during operation.