Consultant Colorectal Surgeon, Cleveland Clinic London, UK; Professor of Surgery, Queen Mary University of London, London, UK; Professor of Experimental Therapeutics, University College London; Hon. Consultant Colorectal Surgeon, St Marks Hospital, London, UK; Hon. Professor of Colorectal Surgery, University of Antwerp, Antwerp, Belgium
Consultant Colorectal Surgeon, Cleveland Clinic London, UK; Professor of Colorectal Surgery, University College London, London, UK.
Cleve Clin J Med. 2022 Jun 1;89(6):336-343. doi: 10.3949/ccjm.89a.21102.
Chronic anal pain is difficult to diagnose and treat, especially with no obvious anorectal cause apparent on clinical examination. This review identifies 3 main diagnostic categories for chronic anal pain: local causes, functional anorectal pain, and neuropathic pain syndromes. Conditions covered within these categories include proctalgia fugax, levator ani syndrome, pudendal neuralgia, and coccygodynia. The signs, symptoms, relevant diagnostic tests, and main treatments for each condition are reviewed.
慢性肛门疼痛难以诊断和治疗，特别是在临床检查中没有明显的肛肠原因。本综述确定了慢性肛门疼痛的 3 个主要诊断类别：局部原因、功能性肛门直肠疼痛和神经性疼痛综合征。这些类别中包括的疾病有：一过性肛门直肠痛、肛提肌综合征、阴部神经痛和尾骨痛。本文回顾了每种疾病的体征、症状、相关诊断测试和主要治疗方法。
