Mason术治疗复发性直肠阴道瘘13例分析.pdfVIP

·34· ·临床论著· Mason术治疗复发性直肠阴道瘘 13例分析 王振峰耿爱芝张波 贾树范 肖毅 【摘要】 目的探讨复发性直肠阴道瘘的手术治疗经验。方法 回顾性分析2001年12月至 2008年12月收治的13例复发性直肠阴道瘘患者的病因及治疗情况。结果13例患者全部采用 一期横结肠转流性造口术，二期Mason术修补，三期造口还纳术治疗。全部治愈，随访4～84个月，无 一例复发。结论复发性直肠阴道瘘经多次手术瀹疗后局部组织血供不佳，瘢痕严重，选择恰当的 手术时机，充分的术前准备，分期应用横结肠去功能性造口+Mason术可显著提高手术成功率。 【关键词】直肠阴道瘘；Mason术 in Mason treatmentofrecurrent fistula13casesWANG surgical rectovaginal Zhen-／eng，GENG Ai-zhi,ZHANGBo，JIA General Second Shu-fan，XIA0Yi．Departmentof Surgery，thePeopleo 252601，China Ho印itdofLiaochengCity，ShandongLinqing A author：GENG Corresponding i-zhi。Email：sdlqwzf@163．corn To the ofrecurrent fistula．Methods 【Abstract】Objectiveinvestigatesurgicalstrategy rectovaginal theclinicaldataof13 withrecurrent fistulafromDecember Retrospectivlyanalyzed patients rectovaginal 2001toDecember2008．The andthe oftTeatmentwere Allthe13 ways analyzod．Results etiopathogenisis withatransverse withMason inthe intention，and patients colostomysurgicalrepaired operationsecondary closureof inthethirdintentionfor werecured．Norecurrentfistula recepted colostomy treatment，allpatients wasidentifiedwith 4—84months．ConclusionsAfterrecurrent fistula postoperativefollow—up mcmvaginal with treatment，theblood oflocaltissueis scaris the SU晒cal poor，the multiple supply serious．Selecting of oftransverse appropriatetimingoperation，adequatepreoperativepreparation，theapplication colostomy and