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目的探讨总结高位直肠阴道瘘的治疗方法。方法对我院自2005年6月至2011年6月共收治高位直肠阴道瘘12例患者资料进行回顾性分析。结果患者术后均进行随访,本组12例无一例手术死亡及严重手术并发症。其中术后1年有3例患者死于新生恶性肿瘤或肿瘤复发,余患者随访至今大便均正常,无1例再瘘患者。结论据患者全身状况、病因及瘘的情况进行个体化治疗,必要时多科室协作治疗以及分期手术治疗的方法以降低术后复发率。
Objective To discuss the treatment of high rectovaginal fistula. Methods The data of 12 patients with high rectovaginal fistula admitted to our hospital from June 2005 to June 2011 were analyzed retrospectively. Results All patients were followed up after operation. There was no surgical death and serious complications in 12 cases in this group. One year after surgery, 3 patients died of malignant neoplasms or tumor recurrence, the remaining patients have been normal stools up to now, no case of re-fistula. Conclusion According to the patient’s general condition, etiology and fistula, individualized treatment, if necessary, multi-departmental collaborative treatment and staged surgical treatment methods to reduce postoperative recurrence rate.