粪便失禁和协同性排便障碍的诊断评估进展。
Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation.
机构信息
Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
出版信息
Clin Gastroenterol Hepatol. 2010 Nov;8(11):910-9. doi: 10.1016/j.cgh.2010.06.004. Epub 2010 Jun 25.
Abstract
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.
摘要
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。
相似文献
1
Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation.粪便失禁和协同性排便障碍的诊断评估进展。
Clin Gastroenterol Hepatol. 2010 Nov;8(11):910-9. doi: 10.1016/j.cgh.2010.06.004. Epub 2010 Jun 25.
2
Digital rectal examination is a useful tool for identifying patients with dyssynergia.直肠指检是识别协同失调患者的有用工具。
Clin Gastroenterol Hepatol. 2010 Nov;8(11):955-60. doi: 10.1016/j.cgh.2010.06.031. Epub 2010 Jul 23.
3
An update on anorectal disorders for gastroenterologists.胃肠病学家应了解的肛肠疾病最新进展
Gastroenterology. 2014 Jan;146(1):37-45.e2. doi: 10.1053/j.gastro.2013.10.062. Epub 2013 Nov 6.
4
To what extent are anorectal function tests comparable? A study comparing digital rectal examination, anal electromyography, 3-dimensional high-resolution anal manometry, and transperineal ultrasound.肛门直肠功能测试的可比性如何？一项比较直肠指检、肛门肌电图、三维高分辨率肛门测压和经会阴超声的研究。
Int J Colorectal Dis. 2023 Jan 16;38(1):12. doi: 10.1007/s00384-022-04304-6.
5
[Value of anorectal manometry in defecation disorders and its clinical interpretation].[肛肠测压在排便障碍中的价值及其临床解读]
Zhonghua Wei Chang Wai Ke Za Zhi. 2016 Dec 25;19(12):1342-1344.
6
Anorectal Disorders: An Update.肛肠疾病：最新进展。
J Clin Gastroenterol. 2020 Aug;54(7):606-613. doi: 10.1097/MCG.0000000000001348.
7
Assessing Anorectal Function in Constipation and Fecal Incontinence.评估便秘和粪便失禁的肛肠功能。
Gastroenterol Clin North Am. 2020 Sep;49(3):589-606. doi: 10.1016/j.gtc.2020.04.011. Epub 2020 Jun 20.
8
Increased Grades of Rectal Intussusception: Role of Decline in Pelvic Floor Integrity and Association With Dyssynergic Defecation.直肠套叠程度增加：与盆底完整性下降和协同性排便障碍相关的作用。
Am J Gastroenterol. 2024 May 1;119(5):946-956. doi: 10.14309/ajg.0000000000002605. Epub 2023 Nov 17.
9
Review article: advances in the diagnosis and management of anorectal motility disorders.综述文章：肛门直肠运动障碍的诊断和治疗进展。
Aliment Pharmacol Ther. 2024 Sep;60(6):701-714. doi: 10.1111/apt.18170. Epub 2024 Jul 25.
10
[Practical approach to constipation in adults].[成人便秘的实用处理方法]
Ginekol Pol. 2012 Nov;83(11):849-53.
引用本文的文献
1
Randomized controlled trial of an Internet-of-Medical-Things device for patient-guided anorectal biofeedback therapy.一项针对患者引导的肛门直肠生物反馈治疗的物联网设备的随机对照试验。
PLoS One. 2024 Sep 27;19(9):e0311134. doi: 10.1371/journal.pone.0311134. eCollection 2024.
2
Optimizing the Utility of Anorectal Manometry for Diagnosis and Therapy: A Roundtable Review and Recommendations.优化肛肠测压在诊断和治疗中的效用：圆桌会议综述及建议。
Clin Gastroenterol Hepatol. 2023 Oct;21(11):2727-2739.e1. doi: 10.1016/j.cgh.2023.05.025. Epub 2023 Jun 9.
3
Dyssynergic Defecation: A Comprehensive Review on Diagnosis and Management.协同失调性排便：诊断与管理的全面综述。
Turk J Gastroenterol. 2023 Mar;34(3):182-195. doi: 10.5152/tjg.2023.22148.
4
Anorectal manometry findings in relation with long-term functional outcomes of the patients operated on for Hirschsprung's disease compared to the reference-based population.肛门直肠测压结果与巨结肠病患者长期功能结果的关系，与参考人群相比。
Pediatr Surg Int. 2023 Feb 17;39(1):131. doi: 10.1007/s00383-023-05402-4.
5
The Effects of Cognitive Behavioral Therapy with Biofeedback Therapy on the Quality of Life, Anxiety, Depression and Somatic Symptoms in Patients with Dyssynergic Defecation: A Randomized Controlled Trial.认知行为疗法联合生物反馈疗法对排便协同失调患者生活质量、焦虑、抑郁及躯体症状的影响：一项随机对照试验
Med J Islam Repub Iran. 2022 Jul 5;36:74. doi: 10.47176/mjiri.36.74. eCollection 2022.
6
A Narrative Review of Irritable Bowel Syndrome with Diarrhea: A Primer for Primary Care Providers.腹泻型肠易激综合征的叙事性综述：基层医疗保健提供者指南。
Adv Ther. 2022 Sep;39(9):4003-4020. doi: 10.1007/s12325-022-02224-z. Epub 2022 Jul 22.
7
Characterization of Patients With Obstructed Defecation and Slow Transit Constipation With a Simulated Stool.模拟粪便对出口梗阻型便秘和慢传输型便秘患者的特征描述。
Clin Transl Gastroenterol. 2021 May 5;12(5):e00354. doi: 10.14309/ctg.0000000000000354.
8
Scientific solution to a complex problem: physiology and multidisciplinary team improve understanding and outcome in chronic constipation and faecal incontinence.复杂问题的科学解决方案：生理学与多学科团队提升对慢性便秘和大便失禁的认知及治疗效果
Pediatr Surg Int. 2020 Mar;36(3):295-303. doi: 10.1007/s00383-019-04605-y. Epub 2019 Dec 16.
9
Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders.三维高分辨率肛门直肠测压术可预测排便障碍对生物反馈治疗的反应。
Int J Colorectal Dis. 2019 Jun;34(6):1131-1140. doi: 10.1007/s00384-019-03297-z. Epub 2019 May 1.
10
Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment.痔病：好发部位、临床表现及治疗
Ann Afr Med. 2019 Jan-Mar;18(1):12-16. doi: 10.4103/aam.aam_4_18.
本文引用的文献
1
Digital rectal examination is a useful tool for identifying patients with dyssynergia.直肠指检是识别协同失调患者的有用工具。
Clin Gastroenterol Hepatol. 2010 Nov;8(11):955-60. doi: 10.1016/j.cgh.2010.06.031. Epub 2010 Jul 23.
2
Wireless pH-motility capsule for colonic transit: prospective comparison with radiopaque markers in chronic constipation.用于结肠传输的无线 pH-动力胶囊：与放射性标志物在慢性便秘中的前瞻性比较。
Neurogastroenterol Motil. 2010 Aug;22(8):874-82, e233. doi: 10.1111/j.1365-2982.2010.01517.x. Epub 2010 May 11.
3
Do stool form and frequency correlate with whole-gut and colonic transit? Results from a multicenter study in constipated individuals and healthy controls.粪便形态和频率与全胃肠道和结肠传输是否相关？在便秘患者和健康对照者的多中心研究结果。
Am J Gastroenterol. 2010 Feb;105(2):403-11. doi: 10.1038/ajg.2009.612. Epub 2009 Nov 3.
4
Investigation of colonic and whole-gut transit with wireless motility capsule and radiopaque markers in constipation.使用无线动力胶囊和不透X线标志物对便秘患者的结肠及全肠道转运情况进行研究。
Clin Gastroenterol Hepatol. 2009 May;7(5):537-44. doi: 10.1016/j.cgh.2009.01.017.
5
Fecal incontinence in US adults: epidemiology and risk factors.美国成年人粪便失禁：流行病学与风险因素
Gastroenterology. 2009 Aug;137(2):512-7, 517.e1-2. doi: 10.1053/j.gastro.2009.04.054. Epub 2009 May 4.
6
Neurophysiological testing in anorectal disorders.肛门直肠疾病的神经生理学检测
Expert Rev Gastroenterol Hepatol. 2008 Jun;2(3):323-35. doi: 10.1586/17474124.2.3.323.
7
American Neurogastroenterology and Motility Society consensus statement on intraluminal measurement of gastrointestinal and colonic motility in clinical practice.美国神经胃肠病学与动力学会关于临床实践中胃肠道和结肠动力腔内测量的共识声明。
Neurogastroenterol Motil. 2008 Dec;20(12):1269-82. doi: 10.1111/j.1365-2982.2008.01230.x.
8
Transperineal three-dimensional ultrasound imaging for detection of anatomic defects in the anal sphincter complex muscles.经会阴三维超声成像用于检测肛门括约肌复合体肌肉的解剖缺陷。
Clin Gastroenterol Hepatol. 2009 Feb;7(2):205-11. doi: 10.1016/j.cgh.2008.08.019. Epub 2008 Aug 16.
9
Prevalence of symptomatic pelvic floor disorders in US women.美国女性有症状盆底功能障碍的患病率。
JAMA. 2008 Sep 17;300(11):1311-6. doi: 10.1001/jama.300.11.1311.
10
Dyssynergic defecation and biofeedback therapy.排便协同失调与生物反馈疗法
Gastroenterol Clin North Am. 2008 Sep;37(3):569-86, viii. doi: 10.1016/j.gtc.2008.06.011.
Zotero 插件