Draganov V, Tankova L
Khirurgiia (Sofiia). 2003;59(1-2):46-50.
Anorectal disturbances are one of the most frequent functional bowel disorders. A lot of motor- and sensor anorectal tests are available. At the same time in Bulgaria anorectal disorders are unknown for the most of the gastroenterologists and surgeons, and that's why they are misdiagnosed and not treated correct. The aim of our paper is to summarize the experience with these techniques in patients with anorectal disorders. We are giving the definition of fecal incontinence, constipation, levator ani syndrome and proctalgia fugas. We revue some aspects of anatomy and physiology of the anorectum. We introduce all anorectal functional tests, the place of the tests in diagnostic algorithm, and the real value of each single test to conform diagnosis of common syndromes.
肛肠功能紊乱是最常见的功能性肠病之一。目前有许多运动和感觉方面的肛肠检查方法。与此同时，在保加利亚，大多数胃肠病学家和外科医生对肛肠疾病并不了解，因此这些疾病常被误诊且未得到正确治疗。我们这篇论文的目的是总结在肛肠疾病患者中应用这些技术的经验。我们给出了大便失禁、便秘、提肛肌综合征和直肠疼痛消失症的定义。我们回顾了肛门直肠的一些解剖学和生理学方面。我们介绍了所有的肛肠功能检查、这些检查在诊断流程中的位置以及每项检查对于确诊常见综合征的实际价值。
