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肛管常见良性疾病症状对临床诊断意义初探

The Diagnostic Significance of the Symptoms of Common Benign Anal Diseases
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摘要 通过对患者主诉症状的频率(简称诉率)探讨肛管常见良性疾病症状与临床诊断的意义。对500例患者病史、主诉详细记录,仔细肛镜检查或指检,治疗前后观察进行对比统计分析。结果显示,肛门不适、大便带血是肛管疾病共有疗状;排便不尽感在肛窦炎诉率近90%;肛门肿物限于内痔、外痔、混合痔;肛门坠胀感在混合痔、肛窦炎诉率较高,在65%以上;疼痛在肛裂、混合痔诉率分别在95%和67%。经过治疗后,症状复诉率少于10%。结果表明,症状对肛管疾病诊断有一定指导意义。 The diagnostic significance of frequency of chief complaint symptoms(FCCS) of common benign anal diseases was investigated in the study. The history of illness, records of chief complaint, anoscopic findings,findings of digital examination, indexes both before and after treatments of 500 cases were compared and analized. As results,anal malaise and hematochezia were the common symptoms of anal diseases; 90% of the patients with anal sinusitis had complainted of sensation of defecation incompleteness ;Patients with internal, external and mixed hemorrhoids had only complanted anal lump;FCCS of anal tencsmus was higher in more 65% of patients with mixed hemorrhoids and anal sinusitis;and FCCS of pain was 95.0% and 67.0% in anal fissure and mixed hemorrhoids respectively. Frequency of re-complaint symptoms was ;10; after treatments. It is showed that symptoms have certain guiding significance for the diagnosis of anal diseases.
出处 《中国肛肠病杂志》 2006年第11期51-52,共2页 Chinese Journal of Coloproctology
关键词 肛管疾病 症状 诊断 Anal diseases Symptom Diagnosis
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