直肠移动瓣技术在中低位直肠阴道瘘中的应用

目的探讨直肠移动瓣修补中低位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。结果12例患者经手术治疗均治愈，随访1年-3年，无复发、肛门失禁并发症。结论对于中低位直肠阴道瘘，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。

On repairing vagina fistula by removing petal of rectum

Objective Objective This paper explores the clinical treatment results by means of removing petal of rectum to repair the low and mid-level vagina fistula.Methods First,design the removable petal of rectum,free its mueosa completely and repair the mouth of rectum fistula without intense force. Results Twelve cases were successfixUy treated and cured by operation. They were paid a follow-up visit to for 1 to 3 years. There was no recurrences of that disease and no symptoms of incontinence of anus among them. Conclusion The treatment for the low and mid-level rectum vagina fistula by removing petal of rectum is proved to be successful. The way of treatment can be popularized. It, s crucial to the success of the operation to have sufficuient preparations for intestinal tract before opertion and standardize the manipulations during operation.