肛裂

最后审阅: 23 Aug 2023
最后更新: 02 Jul 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 排便痛
  • 排便时有撕裂的感觉
  • 粪便或擦拭纸上有鲜血
  • 肛门痉挛
更多 关键诊断因素

其他诊断因素

  • 间歇性症状
  • 前哨痔
  • 臀部收缩可见裂口
其他诊断因素

危险因素

  • 硬便
  • 妊娠
  • 阿片类镇痛药
更多 危险因素

诊断性检查

首要检查

  • 临床诊断
更多 首要检查

需考虑的检查

  • 肛门测压法
  • 肛管肛门超声
更多 需考虑的检查

治疗流程

急症处理

症状表现方面

顽固性肛裂

撰稿人

作者

John R.T. Monson, MD, FRCS (Ire, Eng, Ed [Hon]), FACS, FASCRS

Executive Director

Colorectal Surgery

Florida Hospital System

Florida Hospital Medical Group

Orlando

FL

利益声明

JRTM declares that he has no competing interests.

鸣谢

Dr John Monson would like to gratefully acknowledge Dr John Scholefield and Dr Jonathan Lund, previous contributors to this topic. JS and JL are authors of a number of references cited in this topic.

同行评议者

Stephen H. Leveson, MD, FRCS

Professor

York Hospital

York

UK

利益声明

SHL declares that he has no competing interests.

Steven Brown, MD, FRCS

Consultant Colorectal Surgeon

Northern General Hospital

Sheffield

UK

利益声明

SB declares that he has no competing interests.

Jan Rakinic, MD, FACS, FASCRS

Associate Professor of Surgery

Chief

Section of Colorectal Surgery

Southern Illinois University School of Medicine

Springfield

IL

利益声明

JR is an author of a reference cited in this topic.

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