半导体激光联合纤维蛋白胶封堵治疗直肠前庭瘘

Treatment with Semiconductor Laser Combined with Fibrin Glue for Female Enfant with Rectovestibular Fistula:a Clinical Observation

目的探讨直肠前庭瘘的治疗方法及疗效。方法直肠前庭瘘患者7例,经直肠前庭瘘外口置入半导体激光光纤至内口,激发激光并逐渐后撤至外口,用肠线"8"字缝合关闭内口。经瘘道外口向瘘道内注入纤维蛋白胶,待纤维蛋白胶凝固后关闭外口。结果 7例患儿手术均一期愈合,无感染、肛门失禁等并发症。随访6个月至5年,均无复发。结论半导体激光照射联合纤维蛋白胶封堵治疗直肠前庭瘘,微创、无切口、不易感染及复发。

Objective To study the methods and the value of the treatment with semiconductor laser and fibrin glue for girl patients with rectoves- tibular fistula. Methods Placing the semiconductor laser fiber through the external aperture of the rectovestibular fistula to the internal aperture of it, exciting the laser and gradually retreating until to the internal aperture, then to close the internal aperture with figure-of-eight suture. After injection of the fibrin glue through the external aperture to the fistula, to close the external aperture while the fibrin glue coagula- ted. Results All 7 cases all got primary healings,without infection, copracrasia or any other complications. Mter 6 months to 5 years follow -up, there was no recurrence occurred. Conclusions Semiconductor laser combined with fibrin glue to deal with rectovestibular fistula is a new treatment modality, it is mini- really invasive with no incision and avoidance of infection or recurrence.