Bauer P
Service de Proctologie, Groupe Hospitalier Diaconesses--Croix Saint Simon, Paris.
J Chir (Paris). 2004 Jul;141(4):225-31. doi: 10.1016/s0021-7697(04)95598-6.
Chronic anoperineal pain may result from diverse causes; a precise and painstaking diagnostic approach is necessary to avoid inappropriate treatments which may aggravate the situation. Advances in imaging and neurophysiologic testing have improved the ability to diagnose and differentiate coccydynia, pudendal neuralgia, and the pyriformis muscle syndrome. Other etiologies including anismus, the descending perineum syndrome, and the levator ani syndrome are discussed as well as psychologic ans somatic interactions.
慢性肛门会阴疼痛可能由多种原因引起；需要精确且细致的诊断方法，以避免不恰当的治疗，否则可能会使情况恶化。影像学和神经生理学检测的进展提高了诊断和区分尾骨痛、阴部神经痛和梨状肌综合征的能力。还讨论了其他病因，包括用力排便障碍、会阴下降综合征和肛提肌综合征，以及心理和躯体的相互作用。
