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
其他诊断因素
- 间歇性症状
- 前哨痔
- 臀部收缩可见裂口
危险因素
- 硬便
- 妊娠
- 阿片类镇痛药
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 肛门测压法
- 肛管肛门超声
治疗流程
症状表现方面
顽固性肛裂
撰稿人
作者
Nivedh Paluvoi, MD
Assistant Professor of Surgery
Colorectal Surgery
Miller School of Medicine
University of Miami
Coral Gables
FL
利益声明
NP declares that he has no competing interests.
鸣谢
Dr Nivedh Paluvoi would like to gratefully acknowledge Dr John R. T. Monson, Dr John Scholefield, and Dr Jonathan Lund, previous contributors to this topic. JRTM declares that he has no competing interests. 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.
鉴别诊断
- 克罗恩病
- 结节病
- 结核病
更多 鉴别诊断指南
- 肛裂管理的临床实践指南
- 良性肛肠疾病的管理
更多 指南患者教育信息
肛门撕裂
更多 患者教育信息
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