基于解剖毗邻结构探讨直肠阴道瘘与阴吹的关系及诊治  

Discussion on the relationship between rectovaginal fistula and flatus vaginalis and its diagnosis and treatment based on the anatomy of adjacent structures

作　　者：裴艳妮 杨巍[1] 陈天 彭云花[1] PEI Yanni;YANG Wei;CHEN Tian;PENG Yunhua(Proctology Department,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai201203,China)

机构地区：[1]上海中医药大学附属曙光医院肛肠科,上海201203

出　　处：《中国医药导报》2020年第21期141-144,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81673768);杨巍上海市名老中医学术经验研究工作室建设项目(SHGZS-2017028);上海市科委科研计划项目(18401904600);上海市临床重点专科项目(shslczdzk04302)。

摘　　要：直肠阴道瘘与阴吹分别是西医、中医的两个截然不同的概念,两者在症状上有着相似之处,究其原因是解剖毗邻关系所致。阴吹乃自觉或者确实有阴道内气体排出,而直肠阴道瘘的最主要表现是阴道排气排粪。两者有着共通之处,而又各有不同,因此,本文对直肠阴道瘘、阴吹分别进行介绍,最后对两者之间的关系进行汇总分析。由此得出结论,直肠阴道瘘瘘管较小时可表现为阴吹,阴吹可能由多种原因形成,直肠阴道瘘仅是其中之一。对于直肠阴道瘘所致阴吹,医患双方应共同决定选择保守治疗或者择机手术。Although rectovaginal fistula and flatus vaginalis are two distinct concepts of Western medicine and traditional Chinese medicine,they have similar symptoms.The reason is due to the adjacent anatomical relationship.Flatus vaginalis is conscious or there is indeed vaginal gas excretion,and the main manifestation of rectovaginal fistula is vaginal exhaust excretion.There′re similarities and differences among them,so this paper will introduce the rectovaginal fistula and flatus vaginalis separately,and finally take summary analysis of the relationship between them.From this conclusion,rectovaginal fistula can be manifested as flatus vaginalis when the fistula is small,which may be formed by many factors,rectovaginal fistula is only one of them.For flatus vaginalis caused by rectovaginal fistula,both doctors and patients should jointly decide whether to choose conservative treatment or elective surgery.

关 键 词：直肠阴道瘘 阴吹 解剖结构 毗邻 

分 类 号：R711.4[医药卫生—妇产科学]