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常见的肛肠疾病。

Common anorectal disorders.

作者信息

Foxx-Orenstein Amy E, Umar Sarah B, Crowell Michael D

机构信息

Dr Foxx-Orenstein is an associate professor, Dr Umar is an assistant professor, and Dr Crowell is a professor in the Division of Gastroenterology at the Mayo Clinic in Scottsdale, Arizona.

出版信息

Gastroenterol Hepatol (N Y). 2014 May;10(5):294-301.

PMID:24987313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4076876/
Abstract

Anorectal disorders result in many visits to healthcare specialists. These disorders include benign conditions such as hemorrhoids to more serious conditions such as malignancy; thus, it is important for the clinician to be familiar with these disorders as well as know how to conduct an appropriate history and physical examination. This article reviews the most common anorectal disorders, including hemorrhoids, anal fissures, fecal incontinence, proctalgia fugax, excessive perineal descent, and pruritus ani, and provides guidelines on comprehensive evaluation and management.

摘要

肛肠疾病导致患者多次就诊于医疗专家。这些疾病包括诸如痔疮等良性病症,以及诸如恶性肿瘤等更严重的病症;因此,临床医生熟悉这些疾病并知道如何进行恰当的病史采集和体格检查很重要。本文回顾了最常见的肛肠疾病,包括痔疮、肛裂、大便失禁、一过性直肠疼痛、会阴过度下降和肛门瘙痒,并提供了综合评估和管理的指南。

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Common anorectal disorders.常见的肛肠疾病。
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本文引用的文献

1
Long-term durability of sacral nerve stimulation therapy for chronic fecal incontinence.经直肠电刺激治疗慢性粪便失禁的长期耐用性。
Dis Colon Rectum. 2013 Feb;56(2):234-45. doi: 10.1097/DCR.0b013e318276b24c.
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Efficacy and quality of life 2 years after treatment for faecal incontinence with injectable bulking agents.治疗粪便失禁的注射性填充剂 2 年后的疗效和生活质量。
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Neuromodulation for fecal and urinary incontinence: functional results in 57 consecutive patients from a single institution.神经调节治疗粪便和尿失禁:单中心 57 例连续患者的功能结果。
Dis Colon Rectum. 2012 Dec;55(12):1278-83. doi: 10.1097/DCR.0b013e31826c7789.
4
Functional disorders of the ano-rectal compartment of the pelvic floor: clinical and diagnostic value of dynamic MRI.盆底肛门直肠区功能障碍:动态磁共振成像的临床及诊断价值
Abdom Imaging. 2013 Oct;38(5):930-51. doi: 10.1007/s00261-012-9955-6.
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A diagnostic accuracy meta-analysis of endoanal ultrasound and MRI for perianal fistula assessment.经肛门超声和 MRI 用于肛周瘘评估的诊断准确性的荟萃分析。
Dis Colon Rectum. 2012 May;55(5):576-85. doi: 10.1097/DCR.0b013e318249d26c.
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Anorectal infection: abscess-fistula.肛肠感染:脓肿-肛瘘
Clin Colon Rectal Surg. 2011 Mar;24(1):14-21. doi: 10.1055/s-0031-1272819.
7
Hemorrhoids.痔疮
Clin Colon Rectal Surg. 2011 Mar;24(1):5-13. doi: 10.1055/s-0031-1272818.
8
Non surgical therapy for anal fissure.肛裂的非手术治疗
Cochrane Database Syst Rev. 2012 Feb 15;2012(2):CD003431. doi: 10.1002/14651858.CD003431.pub3.
9
A prospective, randomized, double-blind study comparing the efficacy of diltiazem, glyceryl trinitrate, and lidocaine for the treatment of anal fissure in children.一项前瞻性、随机、双盲研究,比较地尔硫卓、硝酸甘油和利多卡因治疗儿童肛裂的疗效。
Pediatr Surg Int. 2012 Apr;28(4):411-6. doi: 10.1007/s00383-011-3048-4. Epub 2012 Jan 3.
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Fecal incontinence: mechanisms and management.粪便失禁:机制与管理。
Curr Opin Gastroenterol. 2012 Jan;28(1):57-62. doi: 10.1097/MOG.0b013e32834d2e8b.