tailieunhanh - Báo cáo y học: " Relationship between anal symptoms and anal findings"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Relationship between anal symptoms and anal findings. | Int. J. Med. Sci. 2009 6 77 International Journal of Medical Sciences 2009 6 2 77-84 Ivyspring International Publisher. All rights reserved Research Paper Relationship between anal symptoms and anal findings Hans Georg Kuehn1 Ole Gebbensleben2 York Hilger3 Henning Rohde 1 H 1. Praxis fur Endoskopie und Proktologie Viktoria-Luise-Platz 12 10777 Berlin Germany 2. Park-Klinik Berlin-Weissensee Innere Abteilung Schonstrasse 80 13086 Berlin Germany 3. Bertholdstrasse 1 - 3 79098 Freiburg Germany ISI Correspondence to Prof. . Henning Rohde mail@ Praxis fur Endoskopie und Proktologie Viktoria-Luise-Platz 12 10777 Berlin. 493036440226. Received Accepted Published Abstract Background The frequencies and types of anal symptoms were compared with the frequencies and types of benign anal diseases BAD . Methods Patients transferred from GPs physicians or gynaecologists for anal and or abdominal complaints signs were enrolled and asked to complete a questionnaire about their symptoms. Proctologic assessment was performed in the knee-chest position. Definitions of BAD were tested in a two year pilot study. Findings were entered into a PC immediately after the assessment of each individual. Results Eight hundred seven individuals 539 with and 268 without BAD were analysed. Almost one third of patients with BAD had more than one BAD. Concomitant anal findings such as skin tags were more frequently seen in patients with than without BAD . After haemorrhoids 401 patients pruritus ani 317 patients was the second most frequently found BAD. The distribution of stages in 317 pruritus ani patients was mild 91 moderate 178 severe 29 and chronic 19 . Anal symptoms in patients with BAD included bleeding itch pain burning and soreness . Anal lesions could be predicted according to patients answers in the questionnaire haemorrhoids by anal bleeding p weeping p and non-existence of anal pain