Obstet Gynecol. 2020 Sep;136(3):642. doi: 10.1097/AOG.0000000000004047.
Anorectal disorders can have overlapping symptoms, which sometimes can make it difficult to establish a diagnosis. Obtaining a detailed history and performing a physical examination are vital to establish the correct diagnosis and to outline appropriate treatment for anorectal disorders. Obstetrician-gynecologists often are the primary care providers and may be the only medical professional a woman sees; therefore, they should be knowledgeable regarding anorectal pathology, recommended dietary and lifestyle changes, and appropriate referral guidelines. This monograph reviews benign and malignant anorectal conditions to aid obstetrician-gynecologists in diagnosis and management of anorectal disease and to provide guidance regarding a referral to a gastroenterologist or a colorectal surgeon.
肛肠疾病的症状可能会有重叠，这有时会使确定诊断变得困难。获取详细的病史并进行体格检查对于确定正确的诊断以及为肛肠疾病制定适当的治疗方案至关重要。妇产科医生通常是初级保健提供者，并且可能是女性唯一会见到的医疗专业人员；因此，他们应该了解肛肠病理学、推荐的饮食和生活方式改变以及适当的转诊指南。本专论回顾了良性和恶性肛肠疾病，以帮助妇产科医生诊断和处理肛肠疾病，并为转介给胃肠病学家或结直肠外科医生提供指导。
