Whitehead W E, Wald A, Diamant N E, Enck P, Pemberton J H, Rao S S
Committee on Functional Anorectal Disorders, Multinational Working Teams to Develop Diagnostic Criteria for Functional Gastrointestinal Disorders (Rome II), University of North Carolina, Chapel Hill, NC 27599-7080, USA.
Gut. 1999 Sep;45 Suppl 2(Suppl 2):II55-9. doi: 10.1136/gut.45.2008.ii55.
In this report the functional anorectal disorders, the etiology of which is currently unknown or related to the abnormal functioning of normally innervated and structurally intact muscles, are discussed. These disorders include functional fecal incontinence, functional anorectal pain, including levator ani syndrome and proctalgia fugax, and pelvic floor dyssynergia. The epidemiology of each disorder is defined and discussed, their pathophysiology is summarized and diagnostic approaches and treatment are suggested. Some suggestions for the direction of future research on these disorders are also given.
在本报告中,讨论了功能性肛门直肠疾病,其病因目前尚不清楚,或与神经支配正常且结构完整的肌肉功能异常有关。这些疾病包括功能性大便失禁、功能性肛门直肠疼痛(包括耻骨直肠肌综合征和暂短性直肠疼痛)以及盆底协同失调。对每种疾病的流行病学进行了界定和讨论,总结了其病理生理学,并提出了诊断方法和治疗建议。还给出了关于这些疾病未来研究方向的一些建议。