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目的 :探讨采用直肠粘膜游离瓣修补术治疗女婴直肠阴道瘘的临床应用效果。方法 :自行设计直肠粘膜游离瓣修补术。技术关键为 :(1)松弛直肠内粘膜 ,游离瓣修补瘘口 ;(2 )直肠阴道瘘口不缝合 ,起引流作用。结果 :10例手术治疗患儿均痊愈 ,排便正常 ,无术后并发症 ,随访 1～ 3年无复发病例。结论 :直肠粘膜游离瓣修补术治疗女婴直肠阴道瘘具有手术操作简单 ,创面小 ,组织愈合快 ,易于推广等优点
Objective: To explore the clinical application of rectal mucosal flap repair in treatment of rectovaginal fistula in female infants. Methods: To design the rectal mucosa free flap repair. Technical key: (1) relaxation of the rectum mucosa, free flap repair fistula; (2) rectovaginal fistula not suture, the role of drainage. Results: All the 10 surgeries were cured, with normal bowel movements and no postoperative complications. All the cases were followed up for 1 to 3 years without recurrence. Conclusion: The treatment of rectovaginal fistula with rectal mucosal flap repair has the advantages of simple operation, small wound, quick tissue healing and easy promotion