Roche B, Marti M C
Département de chirurgie, HCUG, Genève.
Schweiz Med Wochenschr. 1996 Feb 24;126(8):316-21.
Pelvic pain of anorectal origin should be carefully investigated. The detailed clinical history may be sufficient to establish diagnosis and determine the etiology of anorectal pain. The diagnosis should be confirmed by complementary clinical investigations. The diagnosis of essential anorectal pain can be established only after failure of measures instituted to correct organic lesions and if pain persists. Among types of essential anorectal pain, coccygodinia and nervus pudendus entrapment are responsive to precise and effective management.
应仔细调查源自肛门直肠的盆腔疼痛。详细的临床病史可能足以确立诊断并确定肛门直肠疼痛的病因。诊断应通过补充临床检查来证实。只有在采取措施纠正器质性病变失败且疼痛持续存在的情况下，才能确立原发性肛门直肠疼痛的诊断。在原发性肛门直肠疼痛的类型中，尾骨痛和阴部神经卡压对精确有效的治疗有反应。
