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目的探讨直肠癌阴道后壁切除后的修复方法。方法１９９１年８月～１９９６年３月对１０例直肠癌累及阴道后壁患者，采用一并切除阴道后壁，即时用带蒂子宫肌瓣修复阴道后壁。结果术后除１例因子宫肌瓣血供不佳失败外，其余效果满意。术后３～６个月复查，阴道后壁痊愈７例，阴道宽度为２～３指，深度为５～６ｃｍ。结论用带蒂子宫肌瓣修复阴道后壁，取材方便，手术操作简便易行，对直肠癌累及阴道后壁需一并切除者的修复优为适宜
Objective To investigate the repair method of rectal cancer after removal of posterior vaginal wall. Methods From August 1991 to March 1996, 10 patients with rectal cancer involving the posterior wall of the vagina were treated with a posterior vaginal wall and the pedicled uterine muscle flap was used to repair the posterior vaginal wall. Results In addition to the failure of blood supply to the uterine muscle flap in 1 patient, the rest was satisfactory. After 3 to 6 months of postoperative reexamination, the posterior wall of the vagina was healed in 7 cases, the vaginal width was 2 to 3 fingers, and the depth was 5 to 6 cm. Conclusion The pedicled uterus muscle flap is used to repair the posterior wall of the vagina. It is easy to obtain the material and the operation is simple and easy. It is suitable for the repair of rectal cancer involving the posterior wall of the vagina requiring resection.