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初级保健提供者的结直肠外科综述

Colorectal Surgery Review for Primary Care Providers.

作者信息

Hegde Rakesh, Trombold John M, Dominguez José M

机构信息

Rakesh Hegde, MD, John M. Trombold, MD & José M. Dominguez, MD, MSMA member since 1996, are in the Department of Colon and Rectal Surgery, Ferrell-Duncan Clinic, CoxHealth, Springfield, Missouri.

出版信息

Mo Med. 2020 Mar-Apr;117(2):154-158.

Abstract

Anorectal conditions are one of the most common problems evaluated by primary care physicians. Most patients present with rectal pain, rectal bleeding, or purulent drainage per rectum. Colorectal conditions have overlapping symptoms. Thorough history and careful anorectal examination can differentiate common anorectal conditions like hemorrhoids, anorectal abscesses, anal fistula, anal fissure, and anal condyloma. Most of these conditions can be diagnosed and treated without imaging.

摘要

肛肠疾病是基层医疗医生评估的最常见问题之一。大多数患者表现为直肠疼痛、直肠出血或直肠脓性分泌物。结直肠疾病有重叠的症状。详细的病史和仔细的肛肠检查可以区分常见的肛肠疾病,如痔疮、肛周脓肿、肛瘘、肛裂和肛门湿疣。这些疾病中的大多数无需影像学检查即可诊断和治疗。

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本文引用的文献

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The cryptoglandular theory revisited.再探隐窝腺理论。
Colorectal Dis. 2015 Dec;17(12):1041-3. doi: 10.1111/codi.13161.
4
German S3-Guideline: rectovaginal fistula.德国S3指南:直肠阴道瘘
Ger Med Sci. 2012;10:Doc15. doi: 10.3205/000166. Epub 2012 Oct 29.
10
Practice parameters for the management of hemorrhoids (revised).痔管理的实践参数(修订版)
Dis Colon Rectum. 2005 Feb;48(2):189-94. doi: 10.1007/s10350-004-0921-4.

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