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耻骨直肠肌综合征——病例研究与文献综述

Levator ani syndrome - a case study and literature review.

作者信息

Ng Ching Luen

机构信息

Kowloon West Cluster, Hospital Authority, Hong Kong, China.

出版信息

Aust Fam Physician. 2007 Jun;36(6):449-52.

PMID:17565405
Abstract

BACKGROUND

Although anorectal symptoms are a common problem seen in general practice, general practitioners may sometimes encounter patients presenting with anorectal pain without a detectable cause.

OBJECTIVE

This article discusses a case of recurrent anorectal pain in a young woman due to levator ani syndrome, and the current evidence for treatment of levator ani syndrome.

DISCUSSION

Levator ani syndrome usually presents with recurrent or chronic rectal pain without detectable organic pathology. Digital massage, sitz bath, muscle relaxants, electrogalvanic stimulation and biofeedback are the treatment modalities most frequently described in the literature.

摘要

背景

尽管肛肠症状是全科医疗中常见的问题,但全科医生有时会遇到一些出现肛肠疼痛却找不到可检测病因的患者。

目的

本文讨论了一名年轻女性因提肛肌综合征出现复发性肛肠疼痛的病例,以及目前治疗提肛肌综合征的证据。

讨论

提肛肌综合征通常表现为复发性或慢性直肠疼痛,而无可检测到的器质性病变。文献中最常描述的治疗方式包括指压按摩、坐浴、肌肉松弛剂、电刺激和生物反馈。

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1
Levator ani syndrome - a case study and literature review.耻骨直肠肌综合征——病例研究与文献综述
Aust Fam Physician. 2007 Jun;36(6):449-52.
2
[Treatment of levator ani syndrome: update and future developments].[肛提肌综合征的治疗:最新进展与未来发展]
Recenti Prog Med. 2011 May;102(5):196-201. doi: 10.1701/659.7668.
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Evaluation of the levator ani and pelvic wall muscles in levator ani syndrome.肛提肌综合征中肛提肌和盆底壁肌肉的评估
Urol Nurs. 2009 Jul-Aug;29(4):225-31.
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The levator syndrome and its variant.提睾肌综合征及其变异型。
Gastroenterol Clin North Am. 1987 Mar;16(1):71-8.
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Levator Ani Syndrome Presenting with Vaginal Pain.肛提肌综合征致阴道疼痛
BMJ Case Rep. 2023 May 4;16(5):e255190. doi: 10.1136/bcr-2023-255190.
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Treatment of levator ani syndrome with cyclobenzaprine.采用环苯扎林治疗肛提肌综合征。
Ann Pharmacother. 2012 Oct;46(10):e29. doi: 10.1345/aph.1R144. Epub 2012 Sep 18.
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Anorectal and perineal pain: new pathophysiological hypothesis.肛肠与会阴疼痛:新的病理生理假说
Tech Coloproctol. 2004 Aug;8(2):77-83. doi: 10.1007/s10151-004-0060-x.
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Anorectal pain and irritation: anal fissure, levator syndrome, proctalgia fugax, and pruritus ani.肛肠疼痛与刺激:肛裂、提肌综合征、短暂性直肠疼痛及肛门瘙痒症。
Prim Care. 1999 Mar;26(1):53-68. doi: 10.1016/s0095-4543(05)70101-9.
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Chronic perineal pain: current pathophysiological aspects, diagnostic approaches and treatment.慢性会阴痛:当前的病理生理方面、诊断方法和治疗。
Eur J Gastroenterol Hepatol. 2011 Jan;23(1):2-7. doi: 10.1097/MEG.0b013e32834164f6.
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Sitz bath: where is the evidence? Scientific basis of a common practice.
Dis Colon Rectum. 2005 Dec;48(12):2336-40. doi: 10.1007/s10350-005-0085-x.

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