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[肛门瘙痒症诊断与治疗的当前趋势。238例病例回顾]

[Current trends in the diagnosis and therapy of anal pruritus. Review of 238 cases].

作者信息

Pecorella G, Pepe G, Pepe F, Gula A, Cannamela G, Calabrese C, Pecorella S

出版信息

Minerva Med. 1985 Jun 16;76(25):1221-6.

PMID:2861586
Abstract

Perianal pruritus may be caused by a variety of factors. Of these, the most frequently occurring are proctological, infections, dermatological, dietary, and systemic. The results of a study carried out on 238 patients from 1980 to 1984 are reported. The survey was carried out with the aim of defining the frequency of pruritus in relation to the triggering cause, to sex and to age. It is emphasised that diagnosis is often difficult and requires the measurement of the following parameters: blood glucose levels, blood, nitrogen levels, ESR, haemochrome, hepatic functions, in addition to a gynaecological examination, analysis of faeces, proctocolonoscopy, skin biopsy and other tests. These are carried out to determine whether anal pruritus is a symptom of a systemic disease, or whether it is brought about by local causes. Treatment measures adopted are reported. Treatment is mainly symptomatic and aetiological for cases caused by local disturbances.

摘要

肛周瘙痒可能由多种因素引起。其中,最常见的是直肠疾病、感染、皮肤病、饮食和全身性因素。报告了1980年至1984年对238例患者进行的一项研究结果。该调查旨在确定瘙痒与触发原因、性别和年龄之间的关系频率。需要强调的是,诊断往往很困难,除了妇科检查、粪便分析、直肠结肠镜检查、皮肤活检和其他检查外,还需要测量以下参数:血糖水平、血氮水平、红细胞沉降率、血红蛋白、肝功能。进行这些检查是为了确定肛门瘙痒是全身性疾病的症状,还是由局部原因引起的。报告了所采取的治疗措施。治疗主要是对症治疗,对于由局部紊乱引起的病例则进行病因治疗。

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