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目的探讨直肠前庭瘘的治疗方法及疗效。方法直肠前庭瘘患者7例,经直肠前庭瘘外口置入半导体激光光纤至内口,激发激光并逐渐后撤至外口,用肠线“8”字缝合关闭内口。经瘘道外口向瘘道内注入纤维蛋白胶,待纤维蛋白胶凝固后关闭外口。结果 7例患儿手术均一期愈合,无感染、肛门失禁等并发症。随访6个月至5年,均无复发。结论半导体激光照射联合纤维蛋白胶封堵治疗直肠前庭瘘,微创、无切口、不易感染及复发。
Objective To investigate the treatment and efficacy of rectocele fistula. Methods Seven patients with rectocele fistula were treated with a semiconductor laser fiber inserted into the inner mouth through the external vestibular fistula. The laser was excised and gradually retreated to the outer mouth. The intestine was sutured with the intestine “8” suture. Fistula outside the mouth into the fistula fibrin glue, fibrin glue until the closure of the outer mouth after coagulation. Results All the 7 cases were cured in one time without complications such as infection and anus incontinence. Follow-up 6 months to 5 years, no recurrence. Conclusion Laser irradiation combined with fibrin sealant in the treatment of rectocele fistula, minimally invasive, no incision, not easy to infection and recurrence.