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结直肠疾病的性别视角:女性疾病的叙述性综述

A Gender Perspective on Coloproctological Diseases: A Narrative Review on Female Disorders.

作者信息

De Nardi Paola, Giacomel Greta, Orlandi Simone, Poli Giulia, Pozzo Mauro, Rinaldi Marcella, Veglia Antonella, Pietroletti Renato

机构信息

Gastrointestinal Surgery, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

General Surgery, San Vito al Tagliamento Hospital, 33078 San Vito al Tagliamento, Italy.

出版信息

J Clin Med. 2024 Oct 15;13(20):6136. doi: 10.3390/jcm13206136.

Abstract

Coloproctological diseases, including both benign and malignant conditions, are among the most common diagnoses in clinical practice. Several disorders affect both men and women, while others are unique to women, or women are at a greater risk of developing them. This is due to anatomical, biological, and social conditions and also due to females' exclusive capabilities of reproduction and pregnancy. In this context, the same proctological disease could differ between men and women, who can experience different perceptions of health and sickness. There is a raised awareness about the impact of different diseases in women and a growing need for a personalized approach to women's health. In this review, we aim to summarize the specific features of the main coloproctological diseases, specifically in the female population. This includes common complaints during pregnancy, conditions linked to vaginal delivery, functional consequences after colorectal resections, and conditions presenting a gender disposition.

摘要

结直肠疾病,包括良性和恶性疾病,是临床实践中最常见的诊断之一。一些疾病对男性和女性都有影响,而另一些疾病则是女性特有的,或者女性患这些疾病的风险更高。这是由于解剖学、生物学和社会条件,也由于女性独有的生殖和怀孕能力。在这种情况下,同一种直肠疾病在男性和女性之间可能会有所不同,他们对健康和疾病的认知也可能不同。人们越来越意识到不同疾病对女性的影响,对个性化的女性健康治疗方法的需求也日益增加。在这篇综述中,我们旨在总结主要结直肠疾病的具体特征,特别是在女性人群中的特征。这包括怀孕期间的常见症状、与阴道分娩相关的情况、结直肠切除术后的功能后果,以及具有性别倾向的疾病。

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