Schiedeck T H
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:895-8.
Pelvic-floor disorders present themselves as isolated entities or, often, in combination with other ano-rectal diseases. In each case, the basis for individual therapy has to be a precise diagnosis. For differentiation of pelvic-floor disorders, we use a step by step diagnostic cascade: the first step is a basic proctological evaluation, including history, scoring, inspection, palpation, proctorectoscopy and anorectal manometry. Secondary special diagnostics, such as endosonography, neurological examination, transit-time studies and defecography are also used. In special individual problems, CT scan, MRI, urological or gynecological examination complete the diagnostic route, resulting in the definite coloproctological therapy.
盆底功能障碍可单独出现，或常常与其他肛肠疾病合并出现。在每种情况下，个体化治疗的基础都必须是精确的诊断。为了鉴别盆底功能障碍，我们采用逐步诊断流程：第一步是进行基本的直肠病学评估，包括病史采集、评分、检查、触诊、直肠乙状结肠镜检查和肛肠测压。也会使用诸如腔内超声检查、神经学检查、传输时间研究和排粪造影等二级特殊诊断方法。对于特殊的个体问题，CT扫描、MRI、泌尿科或妇科检查完善诊断流程，从而确定结直肠病学治疗方案。
