de Godoy J A, de Godoy R S
Centro Médico e Cirúrgico, Instituto de Gastroenterologia de São Paulo, CMC-IGESP.
Arq Gastroenterol. 1992 Oct-Dec;29(4):153-60.
The aim of the present study is bring to the colo-proctologists and clinicians the importance of the correct interpretation of ano-rectal pain. Sometimes this pain is so characteristic that it becomes pathognomonic of some diseases. The authors detail the rectal and anal canal innervation and distinguish 2 opposite types of pain in this region: a cutaneous or superficial and a visceral or deep pain. The pain sensation depends of 2 components: perception through physiologic mechanism and reaction through basically psychogenic mechanism. The authors discuss the characteristics of the pain in many anorectal diseases, like inflammatory ones, piles, tumors and very complex neuralgias found in some psychotic patients.
本研究的目的是向结直肠外科医生和临床医生阐明正确解读肛门直肠疼痛的重要性。有时这种疼痛非常具有特征性，以至于成为某些疾病的诊断依据。作者详细介绍了直肠和肛管的神经支配情况，并区分了该区域两种相反类型的疼痛：皮肤性或浅表性疼痛和内脏性或深部疼痛。疼痛感觉取决于两个因素：通过生理机制的感知和基本上通过心理机制的反应。作者讨论了许多肛肠疾病中疼痛的特征，如炎症性疾病、痔疮、肿瘤以及一些精神病患者中发现的非常复杂的神经痛。
