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目的探讨后天性直肠舟状窝瘘行经直肠修补术的治疗效果。方法回顾性分析1992年1月至2013年1月期间笔者所在医院收治的18例行经直肠修补术的后天性直肠舟状窝瘘患者的临床资料。结果 18例患者的手术均顺利。手术时间75~120 min,平均94.6 min;术中出血量5~20 m L,平均10 m L;术后住院时间7~16 d、平均11 d;住院费用3 541~6 814元,平均5 966元。术后均留置导尿管,无尿潴留等发生。术后所有患者均治愈出院,切口均一期愈合,无一例发生感染。术后所有患者均获访1~11年,中位数为5年。随访期间无肛门狭窄及肛门失禁发生,无复发病例。结论经直肠修补术治疗后天性直肠舟状窝瘘的效果较好,值得推广。
Objective To investigate the treatment of posterior recto-navicular fistula transrectal repair. Methods The clinical data of 18 patients with posterior recto-navicular fistula who underwent rectal repair in our hospital from January 1992 to January 2013 were analyzed retrospectively. Results 18 cases of patients were operated smoothly. The operation time was 75-120 min with an average of 94.6 min. The intraoperative blood loss was 5-20 m L with an average of 10 m L. The postoperative hospital stay was 7-16 days with an average of 11 days. The hospitalization cost was 3,541-6,814 yuan with an average of 5 966 yuan. Postoperative catheterization, such as urinary retention occurred. All patients were cured after surgery, incisions were healed, no case of infection. All patients were followed up for 1 to 11 years with a median of 5 years. During the follow-up no anal stenosis and anal incontinence occurred, no recurrence. Conclusions Recto-nostrilous fistulas are better after rectal repair, which is worthy of promotion.