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直肠癌双吻合器Dixon手术并直肠阴道瘘6例,均系直肠癌根治术后治愈出院的患者。年龄22~71岁,全部应用29~34号进口吻合器和60mm闭合器。直肠肿瘤位于其上段1例,中段3例,下段2例,直肠腺癌5例,直肠粘液腺癌1例,术后12~23d发现阴道内有粪液外溢,体检直肠阴道瘘口均位于吻合口前壁或外侧壁,瘘口最大1.5cm×1.2cm,最小0.8cm×0.5cm,直肠阴道瘘后,无一例并发热、畏寒等全身症状。术后第12~23d并发直肠阴道瘘,本文主要就其原因进行探讨,认为原因是多方面的,处理仍是手术治疗,重点是掌握手术时机。
Rectal cancer double stapler Dixon surgery and rectovaginal fistula in 6 cases, are cured after discharge of rectal cancer patients after discharge. Ages 22 to 71 years old, all use 29~34 imported stapler and 60mm closure. Rectal tumors were located in the upper segment in 1 case, middle segment in 3 cases, lower segment in 2 cases, rectal adenocarcinoma in 5 cases, rectal mucinous adenocarcinoma in 1 case, postoperative vaginal discharge in 12 to 23 days, and rectal vaginal fistula in the examination. The anterior or lateral wall of the mouth, maxillary 1.5cm x 1.2cm, minimum 0.8cm x 0.5cm, after rectal vaginal fistula, no case of fever, chills and other systemic symptoms. On the 12th to 23rd postoperative period, there are rectovaginal fistulas. This article mainly discusses the causes and considers that the causes are various. The treatment is still surgical treatment. The key is to grasp the timing of surgery.