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肛瘘手术后伤口有分泌物是怎么回事 贾小强 中国中医科学院西苑医院 我们知道这个肛瘘它就是一种慢性化脓性的感染性的疾病。做手术只是把瘘管打开,并不是把瘘管完全的切除,当然也有这种完全切除的。这种手术方法即便是把瘘管完全的切除,创面一般来说缺损比较大或者是里边有污染,我们无法做到完全缝合一次让它长好。它都有一个二次愈合的过程,这个裸露的创面会在愈合的过程当中会有一些渗出液分泌物,创面越大渗出液就会越多,分泌物就会越多即使是肛瘘的创面,完全愈合之后在他刚刚愈合的比较近的一段时间内,瘢痕比较硬比较光滑,肛门就闭合的不是那么严密,肛门内的一些黏液就会顺着这个瘢痕向外溢出,一般量会很少不会多就会引起感到不舒服的感觉。肛门潮湿肛门污染肛门搔痒那么这些症状就随之而来。所以说肛瘘手术后分泌物多这是非常常见的一个问题,一般来说随着伤口的愈合,手术创面的愈合,手术后创面缺损的修补,那么这种渗液的现象会越来越少,绝大多数肛瘘手术术后的病人都不会有渗液粘液的溢出,只有那些位置比较高瘘管比较复杂创面比较大。在手术以后仍然会有一段时间存在着肛门潮湿粘液分泌物的问题,但是绝大多数的情况下都是暂时的,随着时间的延长肛门功能的恢复,那么这种现象会越来越少直到消失。所以说我们在肛瘘手术以后,仍然要注意肛门局部的保养要注意肛门局部的清洁,每天都要定时进行坐浴,每天大便过后要坐浴一次,晚上睡觉前要做一次养成这样的习惯保持肛门局部的清洁干燥。这样话我们就会恢复的更好,我们就会感到更加的舒服。 What's the matter with secretion in the wound after anal fistula operation We know that this anal fistula is a chronic suppurative infectious disease. The operation is just to open the fistula, It's not a complete removal of the fistula, Of course, there is a complete resection. Even if the fistula is completely removed, Generally speaking, the defect is large or there is pollution inside the wound, We can't do a full stitch to make it grow well. It has a secondary healing process, This exposed wound will have some exudates during the healing process, The larger the wound, the more exudates there will be, The more secretions there are, even the wounds of anal fistula, After the complete healing, in the near time when he just healed, The scars are hard and smooth, The anus is not so tight, Some mucus in the anus will spill out along the scar, Generally speaking, if the quantity is small or not, it will cause uncomfortable feeling. If the anus is wet and the anus is polluted and scratched, then these symptoms will follow. So it's a very common problem that there is a lot of secretion after anal fistula surgery, Generally speaking, with the wound healing, Surgical wound healing, Repair of wound defect after operation, Then the phenomenon of seepage will be less and less, The vast majority of patients after anal fistula operation will not have the overflow of exudate and mucus, Only those with high fistulas and complicated wounds were larger. There will still be a period of time after the operation when there is a problem of wet mucus secretion in the anus, But most of the time it's temporary, With the extension of time, the function of anus recovered, Then the phenomenon will be less and less until it disappears. So after the anal fistula surgery, We still need to pay attention to the maintenance of the anus and the cleaning of the anus, Every day, we need to have a regular sitting bath, Take a bath after defecation every day, Before going to bed at night, we should make such a habit to keep the anus clean and dry. So we can recover better, We will feel more comfortable.