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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.

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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本文引用的文献

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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.
10
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.

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