Department of Colon and Rectal Surgery, Hospital Germans Trias i Pujol, School of Medicine, Universitat Autónoma de Barcelona, Badalona, Spain.
Division of Colon and Rectal Surgery, University of Illinois at Chicago.
Am J Med. 2018 Jul;131(7):745-751. doi: 10.1016/j.amjmed.2018.01.050. Epub 2018 Feb 27.
Benign anorectal conditions produce anal pain, rectal bleeding, or discharge from the perianal region, which are highly prevalent symptoms in the general population. Hemorrhoidal disease, anal fissure, perianal abscess, proctalgia syndromes, and pruritus anii are the most common clinical disorders. Well-trained physicians, irrespective of their specialty, can treat most of these disorders and refer them to a specialist in proctology only when necessary. The aim of this review is to provide a practical guide to the management of benign anorectal disorders in terms of their initial management and the criteria for specialist referral.
良性肛肠疾病可导致肛门疼痛、直肠出血或肛周区域分泌物,这些是普通人群中高发的症状。痔病、肛裂、肛周脓肿、肛痛综合征和肛门瘙痒症是最常见的临床疾病。经过良好培训的医生,无论其专业如何,都可以治疗大多数这些疾病,只有在必要时才将其转介给肛肠病学专家。本综述的目的是提供一个关于良性肛肠疾病管理的实用指南,包括初始管理和转介专家的标准。