Cundiff G W, Nygaard I, Bland D R, Versi E
Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, MD 212287, USA.
Am J Obstet Gynecol. 2000 Jan;182(1 Pt 1):S1-S10. doi: 10.1016/s0002-9378(00)70522-9.
The Multidisciplinary Symposium on Defecatory Disorders was created to delineate the breadth of defecatory disorders and propose investigations to address identified knowledge deficits. Seven experts in defecatory disorders and 24 members of the American Urogynecologic Society were invited. The experts provided brief summaries of the scope of defecatory disorders from the perspectives of their specialties. The group then divided into 3 subgroups that focused on pathophysiology, imaging, and evaluation and treatment. Defecatory disorders, including anal incontinence and constipation, are common among women of all ages. Determination of their prevalence is complicated by a lack of standardized definitions. Defecatory disorders carry lengthy differential diagnoses. Imaging studies and anorectal testing, although not standardized, can aid in distinguishing different causes of dysfunction. The lack of uniformity in diagnosis and evaluation compromises comparisons of different treatments. Standardization of diagnoses and diagnostic modalities is essential to the design of meaningful evaluations of treatments for defecatory disorders.
排便障碍多学科研讨会旨在明确排便障碍的范围，并提出调查研究以解决已发现的知识空白。我们邀请了7位排便障碍专家和美国泌尿妇科协会的24名成员。专家们从各自专业的角度简要总结了排便障碍的范围。然后，该小组分为3个小组，分别专注于病理生理学、影像学以及评估与治疗。排便障碍，包括肛门失禁和便秘，在各年龄段女性中都很常见。由于缺乏标准化定义，其患病率的确定较为复杂。排便障碍的鉴别诊断过程漫长。影像学研究和肛肠检查虽然尚未标准化，但有助于区分不同的功能障碍原因。诊断和评估缺乏一致性影响了不同治疗方法之间的比较。诊断和诊断方式的标准化对于设计有意义的排便障碍治疗评估至关重要。
