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(目的)探讨直肠癌阴道后壁切除后的修复方法。(方法)采用直肠癌与累及的阴道后壁一并切除,即时用子宫带蒂浆肌瓣修复阴道后壁。(结果)10例中除1例因子宫肌瓣血供不佳失败外,其余效果满意。(结论)用带蒂子宫肌瓣修复阴道后壁,取材方便,手术简单易行,对直肠癌系及阴道后壁需切除阴道后壁者可选择此术式修复。
(Objective) To investigate the repair method of the posterior vaginal wall after resection of rectal cancer. (Method) Rectal cancer was removed together with the affected posterior wall of the vagina. Immediately, the posterior wall of the vagina was repaired with a pedicled muscle flap. (Results) In addition to the failure of one case of unsatisfactory blood supply to the uterine muscle flap, the remaining 10 cases were satisfactory. (Conclusion) The pedicled uterine muscle flap is used to repair the posterior wall of the vagina. It is easy to obtain the material and the operation is simple. This method can be used to repair the rectal cancer and the posterior wall of the vagina.