肛瘘和痔疮有什么区别 鲁海燕 湖南中医药大学第二附属医院（湖南省中医院）

肛瘘和痔疮有什么区别 鲁海燕 湖南中医药大学第二附属医院（湖南省中医院）
肛瘘和痔疮的区别：肛瘘是指肛门直肠与肛周皮肤的异常管道，它由内口、瘘管、外口三部分组成，分为单纯性肛瘘、复杂性肛瘘、低位肛瘘、高位肛瘘，痔疮是指肛门直肠及肛门粘膜的静脉丛瘀血、扩张、屈曲而形成的，一个或多个柔软的静脉团，还有一种说法就是肛门的肛垫下移导致的痔疮，痔疮一般分为内痔、外痔和混合痔，两者的病因不同，肛瘘大部分由直肠肛管周围脓肿引起，还有一些因为结核、溃疡性结肠炎、克罗恩病也可引起痔疮。它是因为习惯性便秘，腹腔内静脉压增高、直肠下端以及肛管慢性感染的原因引起两者的症状也不相同，肛瘘主要表现在肛周有硬结，然后局部有流脓、肛周潮湿、瘙痒、疼痛、排便不畅等，痔疮的主要症状表现在便血、脱出、疼痛、瘙痒、便秘等，肛瘘和痔疮都是发生在肛门的疾病，当出现便血和肛周不适时一定要去专科医院进行检查，在医生的指导下进行治疗。

What's the difference between anal fistula and hemorrhoids
The difference between anal fistula and hemorrhoids: anal fistula refers to the abnormal pipeline between anorectum and perianal skin, It is composed of three parts: inner mouth, fistula and outer mouth, It can be divided into simple anal fistula, complex anal fistula, low anal fistula and high anal fistula, Hemorrhoids refers to the blood stasis, expansion and flexion of the venous plexus of anorectum and anal mucosa, One or more soft venous masses, There is another way of saying that hemorrhoids are caused by the anal pad moving down, Hemorrhoids are generally divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids, They have different causes, Most of anal fistula is caused by perianal abscess, Some also cause hemorrhoids because of tuberculosis, ulcerative colitis and Crohn's disease. It's because of habitual constipation, The symptoms of the two groups were also different due to the increase of intraperitoneal venous pressure, the lower rectum and the chronic infection of anal canal, Anal fistula is mainly manifested in sclerotic perianal, Then there are pus, perianal dampness, pruritus, pain, poor defecation, etc, The main symptoms of hemorrhoids are hematochezia, prolapse, pain, pruritus, constipation, etc, Anal fistula and hemorrhoids are diseases that occur in the anus, When there is hematochezia and perianal discomfort, you must go to a special hospital for examination, Treat under the guidance of a doctor.