直肠

Intractable rectovaginal fistula is a troublesome complication after treatment of perineal cancers or infection.

会阴部癌症或是感染所导致的难治性直肠阴道瘻管是一个相当棘手的问题。

Methods Clinical and followup data of 11 patients with postoperative rectovaginal fistula after anterior resection for rectal cancer from March 2004 to August 2006 were reviewed.

2004年3月至2006年8月，根据电话和门诊随访结果以及病历记录，回顾性总结多中心11例直肠癌前切除术后并发直肠阴道瘘的原因及治疗效果。

Rectovaginal examination permits the best clinical assessment of tumor size and parametrial involvement.

经直肠阴道检查可以使肿瘤大小及相关参数在临床评估上达到最优。

The technique of transanal repair in combination with transvaginal repair for the treatment of rectovaginal fistula complicated by anterior resection is effective and safe, no requirement to divide the perineal body and anal sphincter, with less postoperative complications and no incontinence.

采用经肛结合经阴道修补治疗直肠癌前切除引起的单纯性直肠阴道瘘是安全有效的，不需要切断会阴体和肛门括约肌，并发症少，无肛门失禁发生。

Keywords rectovaginal fistula;prevention;treatment

直肠阴道瘘；预防；治疗

Rectovaginal examination should reveal the uterine adnexal tenderness.

直肠阴道检查应该可发现子宫、附件有压痛。

MethodsOn the basis of an anatomical s tu dy a new type of the pudendal-thigh flap pedicled on the obturator artery has been designed to repair rectovaginal fistual.

在解剖学研究的基础上，设计并应用以闭孔动、静脉前皮支为蒂的阴股沟岛状皮瓣修复阴道直肠瘘。

Type 2.The pudendal-thigh flap is pedicled on the anterior cutaneous branches of theobturator artery and may be used to repair rectovaginal fistula and small skin defects ofperineum.3 patients of rectovaginal fistula have been treated with the flaps and good resultshave been achieved.

意效果。●Ⅱ型：以闭孔动静脉前皮支为血管蒂的阴股沟皮瓣，供血血管为闭孔动脉前皮支，可用于会阴部较小皮肤缺损和阴道直肠瘘的修复；我们应用这种类型的皮瓣为3例

Rectovesical fistula was impressed based on the pattern and orientation. Contrast-enhanced CT scan revealed a consistent finding.

显影剂增强的电脑断层摄影显示一致的发现，最后并由膀胱镜直接证实直肠膀胱瘻管的存在。

Rectovesical fistula is a subgroup in the entity of enterovesical fistulas. Virtually all rectovesical fistulas are secondary to cancer or trauma.

直肠膀胱瘻管是肠道与泌尿道闲痒管的一种类型，较易发生於於该区域的肿瘤或创伤的患者。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。