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class="pcp_lils fl"> <div class="pcp_art"> <div class="pcp_curmb"> 您现在所在的位置：<a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/">首页</a> > <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/jibing/">疾病快速通道</a> > 粪瘘 </div> <h1>粪瘘</h1> <ul class="pcpart_tag"><li><strong>医院就诊时间：8:00-20:00</strong></li> <li class="pcp_artlis">文章来源：昆明医博肛肠医院 <span id="todays">未知</span> </li> <li class="pcp_artlis2"><a href="javascript:void(0)(0)" onclick="online();return false;" title="在线咨询医师">在线咨询医师</a></li> </ul><div class="clear"></div> <div class="pcp_article"> <p><span style="color: #ff0000"><strong>什么是粪瘘</strong></span></p><p>粪瘘（fecal fistula）是指生殖器官与肠道之间形成的异常通道。在妇产科临床中较常见的是直肠阴道瘘。滞产形成的粪瘘有时并发尿瘘。此外也可有小肠、结肠阴道瘘。生殖器官瘘管是一种极为痛苦的损伤性疾病。由于尿、粪不能自行控制，外阴部浸泡在尿液中，不仅给妇女带来肉体上痛苦，而且患者因害怕与群众接近，不能参加生产劳动，精神上的负担也很大。加强孕妇保健，开展新法接生，正确处理分娩，提高手术质量，生殖器官的损伤是可以避免的，生殖器官瘘管的发生必然会大大降低。</p><p><span style="color: #ff0000"><strong>粪瘘的临床表现</strong></span></p><p>若瘘孔较大而接近阴道口者，成形或半成形大便皆可经阴道排出，并有不能控制的排气症状，大便稀时上述症状更为严重。若瘘孔小，粪便也较干燥，则可无粪便自阴道排出，只是在便稀时方经阴道溢粪，但排气则不能控制。若粪瘘与尿瘘同时并存，则漏尿中常夹杂粪便或同时排气。阴道及外阴因常受粪便及带有粪便的分泌物刺激而发生慢性外阴皮炎。</p><p><span style="color: #ff0000"><strong>粪瘘的预防</strong></span></p><p>粪瘘的预防基本同于尿瘘。此外，应正确助产，避免发生重度会阴裂伤；会阴切开缝合时应注意缝线勿穿透直肠粘膜。注意会阴缝合后常规肛诊，发现直肠粘膜有缝线及时拆除。对于经腹手术，盆底剥离面大，不得不借乙状结肠掩覆者，与盆腹膜缝合时亦应注意勿穿透肠壁。在缝合盆底腹膜时，注意勿暴露粗糙面，以免肠粘连、感染、坏死，形成阴道阴瘘。</p><p><span style="color: #ff0000"><strong>粪瘘的治疗</strong></span></p><p>粪瘘的治疗为手术修补。修补效果比尿瘘佳。其损伤后自愈的机会也比尿瘘多。新鲜创伤（如手术或外伤）应立即进行修补。陈旧性粪瘘，如为部位较高的直肠阴道瘘，则按尿瘘修补的原则方法及手术要求，分离瘘孔的周边组织，使阴道壁与直肠粘膜分离，先缝直肠壁（不透粘膜），后缝合阴道壁。如直肠阴道壁近于肛门，则首先从正中剪开肛门与瘘孔之间的阴道直肠隔，使成会阴三度裂伤，再行修补。</p><p>如系粪瘘与尿瘘两者并存，宜同时修补。如粪瘘较大，或瘢痕组织较多，估计手术困难者可先作腹壁结肠造瘘及尿瘘修补，待尿瘘愈合后，间隔4周，再进行粪瘘修补，成功后再使造瘘之结肠复位。此种情况虽较少，在方法、步骤上须结合具体情况慎重考虑。</p><p>直肠阴道瘘的瘘孔巨大，瘢痕组织过多（多为阴道内腐蚀性坐yao所引起），瘘孔经多次修补失败，经商讨修补确无成功希望者，可考虑做性人工肛门手术。</p><p>确诊之小肠或结肠阴道瘘宜经腹修补或行肠切除吻合术。</p><p>粪瘘的术前准备及术后处理，对粪瘘修补的愈合关系较大。故术前3～5天开始进无渣半流质，并给予灭滴灵0.2g，每日3～4次；共服3～4天，庆大霉素8万U，肌注，1日2次，用3～4天，或术前日服新霉素1g，或每日口服链霉素1g，3～4天，以减少肠道感染机会。术前一日服番泻叶15g（冲饮），或术前晚清洁洗肛，并冲洗阴道。术后继续给予无渣半流质饮食并控制排便3～5天，可给予5%鸦片酊5ml，每日3次；继给灭滴灵等预防感染，促进伤口愈合。自术后第4日起每晚服液体石蜡30～40ml，或每日服番泻叶15g，使粪便变稀或软化易于排出（排便次数过多时可停服）。此外，术后还应保持外阴清洁。</p> <div class="clear"></div> <ul class="pcp_prev"><li>上一篇：<a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/jibing/11852.html">儿童遗粪症</a> </li> <li>下一篇：<a 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title="特别的爱＂给特别的TA＂"><img src="https://web.archive.org/web/20170228152935im_/http://www.0871gck.com/uploads_7002/121120/904-1211201132351O.jpg" alt="特别的爱＂给特别的TA＂"></a></dt> <dd> <h3><a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/case/22385.html" target="_blank" title="特别的爱＂给特别的TA＂">特别的爱＂给特别的TA＂</a></h3> <p> 导读：寒冬送风雪，肛泰送温暖..<a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/case/22385.html" target="_blank" title="特别的爱＂给特别的TA＂">[详细]</a> </p> </dd> </dl></div>  <ul class="pcp_ultit pcp_mt10"><li><h2><a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/" target="_blank" title="在线先进医师">在线先进医师</a></h2></li> <li class="align_r align_r2"><a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/" target="_blank" title="更多">更多>></a></li> </ul><div class="clear"></div> <div class="pcp_lirin pcp_other"> <dl class="pcp_doct"><dt> <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/23881.html" target="_blank" title="常天伟"><img src="https://web.archive.org/web/20170228152935im_/http://www.0871gck.com/upload_7002/130320/160407/1296-16040G41G24D.jpg" alt="常天伟" class="pcp_doctor"></a> <a href="javascript:void(0)(0)" onclick="online();return false;" title="在线咨询"><img src="https://web.archive.org/web/20170228152935im_/http://www.0871gck.com/image/pcp_docbutt.png"></a> </dt> <dd> <h3><a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/23881.html" target="_blank" title="常天伟">常天伟</a> <span>肛肠科主任</span></h3> <p> 常天伟，昆明医博肛肠医院肛肠科主任，从事肛肠科诊疗工作十余年，...<a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/23881.html" target="_blank" title="常天伟">[详细]</a> </p> </dd> </dl><dl class="pcp_doct"><dt> <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/23860.html" target="_blank" title="于雷"><img src="https://web.archive.org/web/20170228152935im_/http://www.0871gck.com/upload_7002/131104/160407/1296-16040G41I1X4.jpg" alt="于雷" class="pcp_doctor"></a> <a href="javascript:void(0)(0)" onclick="online();return false;" title="在线咨询"><img src="https://web.archive.org/web/20170228152935im_/http://www.0871gck.com/image/pcp_docbutt.png"></a> </dt> <dd> <h3><a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/23860.html" target="_blank" title="于雷">于雷</a> <span>肛肠科主任</span></h3> <p> 毕业于黑龙江省齐齐哈尔医学院，从事肛肠科临床工作20余年，先后师...<a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/zhuanjia/23860.html" target="_blank" title="于雷">[详细]</a> </p> </dd> </dl></div> <ul class="pcp_ultit pcp_mt10"><li><h2><a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/road.html" target="_blank" title="交通路线">交通路线</a></h2></li> <li class="align_r align_r2"> </ul><div class="clear"></div> <div class="pcp_lirin pcp_other"> <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/road.html" target="_blank" title="交通路线"><img src="https://web.archive.org/web/20170228152935im_/http://www.0871gck.com/image/pcp_maps.jpg" alt="交通路线" class="pcp_map"></a> <div class="pcp_mapp">医院地址：昆明市青年路1号</div> <div class="pcp_mapp">咨询热线：0871-68391120(无节假日医院)</div> </div> </div><div class="clear"></div> </div>  <ul class="pcp_ultit pcp_mt10"><li><h2>疾病快速通道</h2></li>  </ul><div class="clear"></div> <div class="pcp_jbsub"><dl><dt>B</dt><dd><a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/jibing/11829.html" target="_blank" title="鞭虫病">鞭虫病</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11835.html" target="_blank" title="便秘">便秘</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11843.html" target="_blank" title="便血">便血</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11962.html" target="_blank" title="便秘原因">便秘原因</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jkzj/17268.html" target="_blank" title="便血鉴别">便血鉴别</a> | </dd> <dt>C</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11845.html" target="_blank" title="肠道疾病">肠道疾病</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11846.html" target="_blank" title="成人脐疝">成人脐疝</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11847.html" target="_blank" title="耻骨直肠肌综合征">耻骨直肠肌综合征</a> | </dd> <dt>D</dt> <dd><a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/gczs/17748.html" target="_blank" title="大便出血">大便出血</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/gczs/17748.html" target="_blank" title="大便失禁">大便失禁</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11851.html" target="_blank" title="大肠息肉">大肠息肉</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11850.html" target="_blank" title="大肠梗阻">大肠梗阻</a> |  </dd> </dl><dl><dt>E</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11852.html" target="_blank" title="儿童遗粪症">儿童遗粪症</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11964.html" target="_blank" title="儿童型肠息肉">儿童型肠息肉</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11963.html" target="_blank" title="儿童遗粪症诱因">儿童遗粪症诱因</a> | </dd> <dt>F</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11856.html" target="_blank" title="腹泻">腹泻</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11853.html" target="_blank" title="粪瘘">粪瘘</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11854.html" target="_blank" title="腹股沟斜疝">腹股沟斜疝</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11855.html" target="_blank" title="腹股沟直疝">腹股沟直疝</a> | </dd> <dt>G</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11860.html" target="_blank" title="肛裂">肛裂</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11861.html" target="_blank" title="肛瘘">肛瘘</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11866.html" target="_blank" title="肛周脓肿">肛周脓肿</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11867.html" target="_blank" title="肛周湿疹">肛周湿疹</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/sunshang/yiwu/16736.html" target="_blank" title="肛门异物">肛门异物</a> | </dd> </dl><dl><dt>H</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11874.html" target="_blank" title="混合痔">混合痔</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/gcjc/17355.html" target="_blank" title="混合痔自测">混合痔自测</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11870.html" target="_blank" title="化脓性汗腺炎">化脓性汗腺炎</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11871.html" target="_blank" title="会阴裂伤">会阴裂伤</a> | </dd> <dt>J</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11881.html" target="_blank" title="结肠损伤">结肠损伤</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11879.html" target="_blank" title="结肠瘘">结肠瘘</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/changdao/jxcy/18001.html" target="_blank" title="急性肠炎">急性肠炎</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11882.html" target="_blank" title="结肠息肉">结肠息肉</a> | </dd> <dt>K</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11884.html" target="_blank" title="溃疡病大出血">溃疡病大出血</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11885.html" target="_blank" title="克罗恩病">克罗恩病</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11886.html" target="_blank" title="溃疡病急性穿孔">溃疡病急性穿孔</a> | </dd> </dl><dl><dt>L</dt> <dd><a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11887.html" target="_blank" title="老年大便失禁">老年大便失禁</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11888.html" target="_blank" title="老年阑尾炎">老年阑尾炎</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11889.html" target="_blank" title="淋菌性肛直肠炎">淋菌性肛直肠炎</a> | </dd> <dt>M</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11966.html" target="_blank" title="慢性肠炎">慢性肠炎</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11967.html" target="_blank" title="慢性结肠炎">慢性结肠炎</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11890.html" target="_blank" title="盲肠肉芽肿">盲肠肉芽肿</a> | </dd> <dt>N</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jkzj/17275.html" target="_blank" title="内痔Ⅱ期鉴别">内痔Ⅱ期鉴别</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11891.html" target="_blank" title="内痔">内痔</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/10874.html" target="_blank" title="内痔病因">内痔病因</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jkzj/17274.html" target="_blank" title="内痔Ⅰ期鉴别">内痔Ⅰ期鉴别</a> |  </dd> </dl><dl><dt>Q</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11892.html" target="_blank" title="气胀">气胀</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11894.html" target="_blank" title="切口疝">切口疝</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11971.html" target="_blank" title="器质性病变">器质性病变</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11972.html" target="_blank" title="器质性病变的检查">器质性病变的检查</a> | </dd> <dt>R</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11896.html" target="_blank" title="乳头状腺瘤">乳头状腺瘤</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11973.html" target="_blank" title="乳头状腺瘤概述">乳头状腺瘤概述</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11974.html" target="_blank" title="乳头状腺瘤手术">乳头状腺瘤手术</a> | </dd> <dt>S</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11898.html" target="_blank" title="神经性肠梗阻">神经性肠梗阻</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11969.html" target="_blank" title="神经性肠梗阻原因">神经性肠梗阻原因</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11968.html" target="_blank" title="十二肠溃疡">十二肠溃疡</a> | </dd> </dl><dl><dt>T</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11980.html" target="_blank" title="脱肛">脱肛</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/lcsq/17928.html" target="_blank" title="脱肛病例">脱肛病例</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jkzj/17277.html" target="_blank" title="脱肛自测">脱肛自测</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11981.html" target="_blank" title="脱肛治疗">脱肛治疗</a> | </dd> <dt>W</dt> <dd><a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jkzj/17278.html" target="_blank" title="外痔自测">外痔自测</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11900.html" target="_blank" title="外痔">外痔</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/10876.html" target="_blank" title="外痔病因">外痔病因</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/10895.html" target="_blank" title="外痔危害">外痔危害</a> | </dd> <dt>X</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11909.html" target="_blank" title="先天性肛门直肠狭窄">先天性肛门直肠狭窄</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11910.html" target="_blank" title="先天性直肠肛门畸形">先天性直肠肛门畸形</a> | </dd> </dl><dl class="noliners"><dt>Y</dt> <dd> <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11906.html" target="_blank" title="腰疝">腰疝</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11907.html" target="_blank" title="婴幼儿脐疝">婴幼儿脐疝</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11975.html" target="_blank" title="乙状结肠间疝">乙状结肠间疝</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11976.html" target="_blank" title="阴道壁脱垂">阴道壁脱垂</a> | </dd> <dt>Z</dt> <dd class="zz"><a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11905.html" target="_blank" title="痔疮">痔疮</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11977.html" target="_blank" title="直肠炎">直肠炎</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jkzj/17265.html" target="_blank" title="直肠炎鉴别">直肠炎鉴别</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11902.html" target="_blank" title="直肠息肉">直肠息肉</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11899.html" target="_blank" title="直肠损伤">直肠损伤</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/jibing/11895.html" target="_blank" title="直肠内异物">直肠内异物</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11978.html" target="_blank" title="直肠前突">直肠前突</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11893.html" target="_blank" title="直肠内套叠">直肠内套叠</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871zc.net/jibing/11901.html" target="_blank" title="直肠脱垂">直肠脱垂</a> | </dd></dl></div>   <div class="pcp_foot pcp_mt10"> <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/jieshao/" target="_blank" title="医院介绍">医院介绍</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/news/" target="_blank" title="医院动态">医院动态</a> | <a href="https://web.archive.org/web/20170228152935/http://www.0871gck.com/ysbh.html" target="_blank" title="隐私保护">隐私保护</a> | <a 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