肛门指检

结论：依据典型病史，会阴肛门指检，可以做出正确诊断，手术切除内异症病变是主要治疗手段。

Conclusion : Correct diagnosis can be made by typical history and vaginal-rectal touch . Excision of endometriosis lesion is the main therapy method .

肛门直肠指检力排时肛门括约肌反向性收缩和ARM力排时肛门括约肌压力反相性升高对判断有无出口梗阻很有意义（P0.001）；

Paradoxical anal sphincteric contraction in digital rectal examination and paradoxical anal sphincteric pressure rising in ARM during straining might be valuable in judging the presence of outlet obstruction ( P0.001 ) .

方法：对连续入选的210例慢性便秘患者通过病史采集、肛门直肠指检、胃肠传输试验（GITT）和肛门直肠测压（ARM）判断其动力障碍类型。

Methods : Two hundred and ten consecutive patients with chronic constipation were investigated by history , digital rectal examination , gastrointestinal transit test ( GITT ) and anorectal manometry ( ARM ) to determine the patterns of motor dysfunction .