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1Transanal approach in repairing acquired rectovestibular fistula in females显示文摘AIM: TO summarize the operative experience of the transanal approach in acquired rectovestibular fistula repair.METHODS: Ninety-six cases of acquired rectovestibularf istula in young females were analyzed retrospectively. The etiology and operative procedure were discussed. Operative essential points were, the patient was laid in prone frog position, with the knees and hips flexed at 90~; the perineum was elevated; and the anal opening was exposed. Four stay sutures were applied to the margin of the fistular orifice in the anal opening at points 3, 6, 9 and 12 o'clock.A circular incision of mucosa surrounding the stay sutures was made. The fistula was dissected from its anal opening to its vestibular opening. The wound of vestibule was sutured,and the rectoanal wound was then sutured transversely.RESULTS: All the 96 patients recovered uneventfully from operation with a successful rate of 93.75%.CONCLUSION: The transanal approach in the treatment of the acquired rectovestibular fistula is a simple and feasible technique.Ya-JunChen Ting-ChongZhang Jin-ZheZhang 2004World Journal of Gastroenterology2004,10,15:9
2肛门正常的直肠前庭瘘病因及治疗方法多中心回顾性分析显示文摘目的评估肛门正常的直肠前庭瘘(RVFNA)的治疗方法,探讨RVFNA的发病原因。方法回顾性分析2006年1月-2012年1月收治的206例RVFNA患儿的临床资料。年龄3个月~15岁。其中23例患儿曾于外院接受手术治疗失败。181例患儿出生3个月内有明确会阴部感染史,之后在排气或排稀便时前庭部有气体或少量粪便漏出。77例患儿会阴部感染之前曾有腹泻。198例前庭有1个瘘口,8例具有2个瘘口,瘘口之间有皮桥相连。患儿内口均在齿状线以上。173例外口直径<5 mm。本组102例行经肛门直肠前庭瘘修补术,87例行经会阴直肠前庭瘘修补术,17例行会阴成形术,均未出现术后会阴体开裂。结果 29例术后4~10 d前庭瘘复发,其中12例通过每日3次硼酸溶液坐浴治疗自愈,另17例再次手术修补。电话或门诊随访2个月~3 a,患儿排便功能均正常。结论 RVFNA大多是因后天感染获得而不是先天性疾病。采用经肛门或经会阴前庭瘘修补术疗效较为满意。复杂的会阴修补术和肠造瘘术对多数RVFNA患儿是不必要的。李乐 余家康 朱德力 张廷冲 陈亚军 2012实用儿科临床杂志2012,27,16:4
3Recto-vestibular disruption defect resulted from the malpractice in the treatment of the acquired recto-vestibular fistula in infants显示文摘AIM: To explore the pathogenesis of the rectovestibular disruption (RVD) defect and to recommend a successful repair, and prevention of it. METHODS: Clinical records of 15 girls, age ranged from 3 to 15 (median, 7.5) years, with acquired rectovestibular fistula (RVF) mistreated before were retrospectively reviewed. All of them presented an abnormal appearance of perineum and were suffering from some degree of fecal incontinence, and those were graded Ⅲ to Ⅳ by Li Zheng's Score. Repair of anal sphincters and reconstruction of perineum body and skin by anterior perineal rectoanoplasty were performed in all cases. RESULTS: Operation in all cases was successful. The perineum looked practically normal and fecal continence score rose up to VI by Li Zheng's Score. CONCLUSION: The conventional treatment for anal fistula, lay-open or string-treatment, should be considered as malpractice of RVF, and certainly leads to the RVD defect, and the anterior perineal rectoanoplasty could cure it satisfactorily.Ting-Chong Zhang Wen-Bo Pang Ya-Jun Chen Jin-Zhe Zhang 2007World Journal of Gastroenterology2007,13,13:4
4直肠舟状窝瘘的手术改良显示文摘为总结改良法修补直肠舟状窝瘘的手术经验,采用改良法对9例直肠舟状窝进行修补,其改进点在于瘘管从直肠内解剖至外瘘口处时,将瘘管从外瘘口翻出,根部结扎,缝扎并断离。而且对引起直肠舟状窝瘘术后复发因素进行分析。结果,9例患儿经改良法直肠舟状窝瘘修补术后随访3-6个月无复发。认为改良法直肠舟状窝瘘修补对减少术后复发有积极作用。岳峰 吴晔明 陈其民 徐敏 2007宁夏医学院学报2007,29,3:1
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