Bharucha Adil E, Trabuco Emanuel
Division of Gastroenterology and Hepatology, College of Medicine, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA.
Gastroenterol Clin North Am. 2008 Sep;37(3):685-96, ix. doi: 10.1016/j.gtc.2008.06.002.
Several organic and functional disorders of the urinary bladder, reproductive tract, anorectum, and the pelvic floor musculature cause pelvic pain. This article describes functional disorders in which chronic pelvic and anorectal pain cannot be explained by a structural or other specified pathology. Currently, these functional disorders are classified into urogynecologic conditions or cystitis and painful bladder syndrome, anorectal disorders, and the levator ani syndrome. Although nomenclature suggests that these conditions are distinct, there is considerable overlap of their symptoms and these disorders have much in common.
膀胱、生殖道、肛门直肠及盆底肌肉组织的多种器质性和功能性疾病可导致盆腔疼痛。本文描述的功能性疾病中,慢性盆腔和肛门直肠疼痛无法用结构性或其他特定病理情况来解释。目前,这些功能性疾病分为泌尿妇科疾病或膀胱炎及膀胱疼痛综合征、肛门直肠疾病和肛提肌综合征。尽管命名表明这些疾病各不相同,但它们的症状有相当多的重叠,且这些疾病有许多共同之处。