直肠阴道瘘

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直肠阴道瘘
Rectovestibular fistula in females.jpg
直肠阴道瘘
分类和外部资源
醫學專科 醫學遺傳學
ICD-10 N82.3 , Q52.2
ICD-9-CM 619.1
DiseasesDB 32573
eMedicine med/2745
MeSH D012006

直肠阴道瘘英语: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]

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[编辑]

  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. PMC 1266383. PMID 16221302. doi:10.1186/1471-2482-5-20. 
  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.