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复发性直肠阴道瘘仍是临床上一个较特殊和困难的问题.作者采用肛门内转移皮瓣与阴道口后外侧游离皮瓣相结合,对1例75岁的女性,曾两次行经肛门内皮瓣修复术,第二次手术并行了回肠造瘘,术后仍失败的患者行了修补术,临床效果满意,修补术后10周,对上次的回肠造瘘进行了复瘘术.术后随访两年以上证实修补无裂开和瘘复发.手术方法:患者取俯卧式折刀位,仔细地探查瘘道后,彻底清创,清除所有的肉芽
Recurrent rectovaginal fistula is still a more special and difficult clinical problem.And the use of ananternal transfer flap with the lateral vaginal posterolateral free flap combination of a 75-year-old female, had twice through the anal endothelium Flap repair, the second operation in parallel with the ileostomy, patients who failed after the operation line repair, clinical results were satisfactory, repair 10 weeks after the last ileostomy fistula surgery. Follow-up more than two years to confirm the repair of non-split and fistula recurrence .Surgical methods: patients take the prone position, after careful exploration of the fistula, debridement, removal of all granulation