Higgins G L
Can Fam Physician. 1984 May;30:1177-83.
The syndrome called proctalgia fugax may be a repository of various conditions, because there are no distinctive signs or supporting tests. Usually, the pain of this condition is described as cramping, gnawing or tight, and lasts about ten to 15 minutes. It occurs most frequently at night and is localized to the rectal region above the anus. One subgroup may be diagnosed by the existence of a `shelf sign' in the rectum. This shelf is probably caused by pubococcygeus spasm. Patients suffering from proctalgia fugax tend to be perfectionists and above average in intelligence. A literature review and the case history of one patient illustrate the difficulties, frustrations and pitfalls associated with this incurable condition.
所谓的直肠痛性痉挛综合征可能是多种病症的集合，因为没有明显的体征或辅助检查手段。通常，这种病症的疼痛被描述为绞痛、刺痛或紧绷感，持续约10至15分钟。它最常发生在夜间，局限于肛门上方的直肠区域。其中一个亚组可通过直肠内“架征”的存在来诊断。这个“架”可能是由耻骨尾骨肌痉挛引起的。患有直肠痛性痉挛的患者往往是完美主义者，智力高于平均水平。一篇文献综述和一位患者的病例史说明了与这种无法治愈的病症相关的困难、挫折和陷阱。
