Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Clin Gastroenterol Hepatol. 2010 Nov;8(11):910-9. doi: 10.1016/j.cgh.2010.06.004. Epub 2010 Jun 25.
Disorders of the anorectum and pelvic floor affect approximately 25% of the population. Their evaluation and treatment have been hindered by a lack of understanding of underlying mechanism(s) and a working knowledge of the diagnostic advances in this field. A meticulous evaluation of anorectal structure and its function can provide invaluable insights to the practicing gastroenterologist regarding the pathogenic mechanism(s) of these disorders. Also, significant new knowledge has emerged over the past decade that includes the development of newer diagnostic tools such as high-resolution manometry and magnetic resonance defecography as well as a better delineation of the clinical and pathophysiologic subtypes of constipation and incontinence. This article provides an up-to-date review on the role of diagnostic tests in the evaluation of fecal incontinence and constipation with dyssynergic defecation.
肛门直肠和盆底疾病影响大约 25%的人群。由于对潜在发病机制的认识不足以及对该领域诊断进展的了解有限，这些疾病的评估和治疗受到了阻碍。对肛门直肠结构及其功能的细致评估可为临床胃肠病学家提供有关这些疾病发病机制的宝贵见解。此外，在过去十年中出现了重大的新知识，包括开发了新的诊断工具，如高分辨率测压和磁共振排粪造影术，以及更好地区分便秘和失禁的临床和病理生理亚型。本文就伴有排便障碍的功能性便秘和失禁的诊断性检查在评估中的作用进行了最新综述。
