直肠阴道瘘

直肠阴道瘘(英語:rectovaginal fistula),是一类妇科疾病,指肠道生殖道之间形成的异常通道[1]

直肠阴道瘘
直肠阴道瘘
类型vaginal fistula[*]肛瘘
病因分娩Birth injury[*]
分类和外部资源
醫學專科醫學遺傳學、​婦科學
ICD-11GC04.16
ICD-10N82.3, Q52.2
ICD-9-CM619.1
DiseasesDB32573
eMedicinemed/2745
MeSHD012006
[编辑此条目的维基数据]

表现为阴道内排出粪便。瘘孔大者粪便经阴道排出,便稀时更为明显。瘘孔小,粪便干结成形时,阴道内不时有排气现象。窥阴器扩开阴道可见后壁有瘘孔,瘘孔极小者可见小的红色肉芽组织[2]

肛诊同时阴道小孔处放探针,或直肠内注入美蓝液,阴道内置干纱布,视有无蓝色浸液均可帮助诊断。它可能由性病淋巴肉芽肿感染引起[3],或者手术副作用。

参考

  1. ^ Kumaran SS, Palanivelu C, Kavalakat AJ, Parthasarathi R, Neelayathatchi M. Laparoscopic repair of high rectovaginal fistula: Is it technically feasible?. BMC Surg. 2005, 5: 20 [2014-08-30]. PMC 1266383 . PMID 16221302. doi:10.1186/1471-2482-5-20. (原始内容存档于2015-11-04). 
  2. ^ Landry, E; Frajzyngier, V; Ruminjo, J; Asiimwe, F; Barry, TH; Bello, A; Danladi, D; Ganda, SO; Idris, S; Inoussa, M; Kanoma, B; Lynch, M; Mussell, F; Podder, DC; Wali, A; Mielke, E; Barone, MA. Profiles and experiences of women undergoing genital fistula repair: findings from five countries.. Global public health. 2013, 8 (8): 926–42. PMC 3805436 . PMID 23947903. doi:10.1080/17441692.2013.824018. 
  3. ^ Lynch CM, Felder TL, Schwandt RA, Shashy RG. Lymphogranuloma venereum presenting as a rectovaginal fistula. Infect Dis Obstet Gynecol. 1999, 7 (4): 199–201. PMC 1784745 . PMID 10449269. doi:10.1155/S1064744999000344.