Vincent C
Clinical Associate Professor, Department of Family Medicine, and Faculty Physician, Swedish Family Practice Residency, University of Washington School of Medicine, Seattle, Washington, USA.
Prim Care. 1999 Mar;26(1):53-68. doi: 10.1016/s0095-4543(05)70101-9.
Anal fissures, proctalgia fugax, levator ani syndrome, and pruritus ani are common causes of anorectal pain and irritation. The clinician who obtains a thorough history and performs a complete examination can accurately diagnose these disorders. Ancillary tests seldom are helpful and rarely are necessary. Most patients suffering from these conditions readily respond to conservative therapy provided in the primary care practitioner's office.
肛裂、短暂性直肠疼痛、肛提肌综合征和肛门瘙痒是引起肛门直肠疼痛和不适的常见原因。详细询问病史并进行全面检查的临床医生能够准确诊断这些病症。辅助检查很少有帮助，而且很少是必要的。大多数患有这些病症的患者对初级保健医生办公室提供的保守治疗反应良好。
