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阴道修复
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     Conclusions: Early repair of ureterovaginal fistula was recommended.
     结论:早期修复输尿管阴道瘘是适宜的。
短句来源
     TREATMENT OF FEMALE STRESS URINARY INCONTINENCE WITH TENSION-FREE VAGINAL TAPE
     无张力阴道吊带修复女性压力性尿失禁
短句来源
     Vulva and Vagina
     外阴和阴道
短句来源
     Vaginal Hematoma
     阴道血肿
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     The Ways Repairing Dies
     修复模具的途径
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Objective To introduce a method to repair the vagina following pelvic exenteration for carcinoma of rectum in which the posterior wall of the vagina and cervix of the uterus were often involved.Methods From 1990 to 1997 segment of the vascularized ileum was used to repair the vagina in 5 cases, and in 2 of which the whole vagina was repaired while in the other 3 cases only the posterior wall of the vagina was repaired. Results All of the patients had successful results after operation repair.Conclusion...

Objective To introduce a method to repair the vagina following pelvic exenteration for carcinoma of rectum in which the posterior wall of the vagina and cervix of the uterus were often involved.Methods From 1990 to 1997 segment of the vascularized ileum was used to repair the vagina in 5 cases, and in 2 of which the whole vagina was repaired while in the other 3 cases only the posterior wall of the vagina was repaired. Results All of the patients had successful results after operation repair.Conclusion Vascularized graft was an ideal material for the repair of vagina defect following pelvic exenteration for carcinoma of rectum, because this material was easily accessible, and its vascular pedicle was long enough for its transfering to the perineal region and the ileum had good blood supply which made healing easy. The vagina following repair had a thick posterior wall, good elasticity and very little scar tissue surrounded.

目的探讨直肠癌行扩大的后盆腔清扫术,其全阴道切除或后侧壁切除后修复阴道的方法。方法1990年~1997年,对5例直肠癌行盆腔后清扫术,采用带蒂回肠段修复阴道,其中带蒂回肠段修复全阴道2例,带蒂回肠段,从对系膜缘剪开作阴道后侧壁修复3例。结果5例手术均获成功。随访6个月~6年,修复后的阴道宽度适当,壁较厚,弹性良好,周围瘢痕组织少。结论用带蒂回肠段作阴道修复,取材简便,回肠系膜血管弓有足够的长度可将回肠段移位至会阴部。回肠血供良好,易于愈合,是直肠癌后盆腔清扫术后阴道成形的理想方法

Objective To summarize the experience in the operative treatment of rectvaginal fistula.Method Form January 1993 to March 2005, 22 cases with rectovaginal fistula were divided into high fistula,middle low fistula and recurrent fistula and trans-anal colon drawing,repair of rectomucosal free flap and trans-perineal body fistulectomy were performed respectively.Results 22 cases were cured.The colostomy was not necessary.With follow-up from 1~11 years,no recurrence was found.Conclusion The manifestation of recto-vaginal...

Objective To summarize the experience in the operative treatment of rectvaginal fistula.Method Form January 1993 to March 2005, 22 cases with rectovaginal fistula were divided into high fistula,middle low fistula and recurrent fistula and trans-anal colon drawing,repair of rectomucosal free flap and trans-perineal body fistulectomy were performed respectively.Results 22 cases were cured.The colostomy was not necessary.With follow-up from 1~11 years,no recurrence was found.Conclusion The manifestation of recto-vaginal fistula is very complex.Successful keys to operation are correct choice of individuated surgical procedures,suitable operative timing,enough preoperative preparation and intensive postoperative management.

目的探讨直肠阴道瘘的手术治疗经验。方法将22例直肠阴道瘘分为高位瘘、中低位瘘和复发瘘,而分别采用经肛门结肠拖下术,直肠粘膜游离瓣修补术和经会阴体瘘管切除直肠阴道修复术。结果22例患者均获痊愈,无需结肠造瘘。随访1~11年,无复发。结论直肠阴道瘘形式复杂,个体化手术方式的正确选择、恰当的手术时机、充分的术前准备以及加强术后管理是手术成败的关键。

 
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