摘要
目的探讨脱细胞异体真皮组织补片用于经阴道直肠阴道瘘修补术的治疗效果。方法回顾性分析解放军总医院2008年1月至2011年12月间收治的22例经阴道行直肠阴道瘘修补术患者的临床资料，其中使用脱细胞异体真皮组织补片修补者12例（真皮补片组），未使用此补片修补者10例（对照组）。结果12例真皮补片组患者中11例一次修补手术成功，1例二次手术成功，一次修补成功率为11／12，用于复发性直肠阴道瘘的1次修补成功率为4／5。对照组中7例一次修补成功，一次修补成功率为7／10，2例初发和1例复发性直肠阴道瘘患者均二次手术修补成功。所有患者均获随访，平均随访时间（9．0±2．0）个月，随访期间均无复发。结论脱细胞异体真皮补片用于经阴道直肠阴道瘘修补术创伤小，成功率高。
Objective To investigate the clinical effect of acellular allograft dermal tissue patch used in transvaginal rectovaginal fistula repair. Methods From Jan. 2008 to Dec. 2011, 22 patients with rectovaginal fistula undergoing treatment in Chinese People＇s Liberation Army General Hospital were studied retrospectively. Twelve patients treated by tissue patch were classified into study group matched with 10 patients with general surgery as controls. Results In study group, 11 patients were successfully repaired by their first surgery ; one patient was successfully fixed by the second surgery. The successful rate of first operation was 11/12 in study group and 4/5 in recurrent trausvaginal rectovaginal fistula. In control group, 7 patients were fixed successfully in their first surgeries, the successful rate of first surgery was 7/10. Two primary patients and 1 recurrent patient were successfully fixed by their second surgeries. All of the patients were followed up for （ 9.0 ± 2. 0 ） months, and no recurrence diseases were observed. Conclusion The transvaginal rectovaginal fistula fixed using acellular allograft dermal tissue patch could get less trauma and higher cure rate.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2012年第12期920-922,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
直肠阴道瘘
修复外科手术
真皮
移植
同种
外科皮瓣
Rectovaginal fistula
Reconstructive surgical procedures
Dermis
Transplantation,homologous
Surgical flaps
