直腸陰道瘺

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直腸陰道瘺
Rectovestibular fistula in females.jpg
直腸陰道瘺
分類和外部資源
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

直腸陰道瘺(英語:Rectovaginal fistula),是一類婦科疾病,指腸道生殖道之間形成的異常通道[1]

表現為陰道內排出糞便。瘺孔大者糞便經陰道排出,便稀時更為明顯。瘺孔小,糞便乾結成形時,陰道內不時有排氣現象。窺陰器擴開陰道可見後壁有瘺孔,瘺孔極小者可見小的紅色肉芽組織[2]

肛診同時陰道小孔處放探針,或直腸內注入美藍液,陰道內置干紗布,視有無藍色浸液均可幫助診斷。它可能由性病淋巴肉芽腫感染引起[3],或者手術副作用。

參考[編輯]

  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.