复杂型直肠阴道瘘15例治疗经验

Treatment of complex rectovaginal fistula： an analysis of 15 cases

目的评价改良Bacon术治疗复杂型直肠阴道瘘的疗效．探讨该术式治疗复杂型直肠阴道瘘的可行性。方法2008年2月至2015年6月南京医科大学第一附属医院对15例复杂型直肠阴道瘘采用改良Bacon术手术治疗，其中经开腹途径5例，完全腹腔镜下途径10例。结果15例复杂型直肠阴道瘘均一次手术治愈，随访6个月至7年，15例均无直肠阴道瘘复发，排便功能良好。结论对于复杂型直肠阴道瘘，采用改良Bacon术是安全、有效、可行的。

Objective To evaluate the efficacy and clinical value of modified Bacon operation for repairing complex reetovaginal fistula. Methods 15 patients underwent modified Bacon operation for their complex reetovaginal fistula from February 2008 to June 2015 at the First Hospital Affiliated to Nanjing Medical University, with 5 cases having open surgery and 10 cases laparoscopieally. Results All operations were successful, all 15 cases were cured with good anal function and no relapse after follow-up for 6 months to 7 years. Conclusion The modified Bacon operation is safe, effective and feasible for complex rectovaginal fistula.