直肠癌阴道后壁切除后子宫肌瓣即时修复的探讨

目的探讨直肠癌阴道后壁切除后的修复方法。方法１９９１年８月～１９９６年３月对１０例直肠癌累及阴道后壁患者，采用一并切除阴道后壁，即时用带蒂子宫肌瓣修复阴道后壁。结果术后除１例因子宫肌瓣血供不佳失败外，其余效果满意。术后３～６个月复查，阴道后壁痊愈７例，阴道宽度为２～３指，深度为５～６ｃｍ。结论用带蒂子宫肌瓣修复阴道后壁，取材方便，手术操作简便易行，对直肠癌累及阴道后壁需一并切除者的修复优为适宜

STUDY OF CONCURRENT RECONSTRUCTION OF POSTERIOR WALL OF VAGINA WITH PEDICLED MUSCULAR FLAP OF UTERUS AFTER RESECTION OF RECTUM CARCINOMA

OBJECTIVE: To investigate the reconstructional method of posterior wall of vagina after the resection of rectum carcinoma. METHODS: From August 1991 to March 1996, 10 patients with rectum carcinoma were adopted in this study, among them, there were 4 cases belong to B stage of Dukas, and 6 cases belong to C stage of Dukes. In operation, rectum carcinoma and posterior wall of vagina were resected, and concurrent reconstruction was finished by using pedicled muscular flap of uterus. RESULTS: The effect of operation were satisfactory except one case who was failed because of insufficient blood supply of the flap. Followed-up for 3-6 months, the posterior wall of vagina healed in 7 cases, the width of vagina was 2-3 fingers and the depth was 5-6 cm. CONCLUSION: Reconstruction of the posterior wall of vagina with pedicled muscular flap of uterus was available in clinic. For its simplicity and feasibility, it's suitable for the resection of rectum carcinoma in which the posterior wall of vagina was infiltrated.