Piéron R, Mafart Y, Lesobre B, Lancastre F, Meyniel D, Wolff M, Zurbach J
Sem Hop. 1977 Feb 9;53(6):353-60.
Out of a total of 486 patients who originated from French Equatorial Africa, from the West Indies or from the Indian Ocean, the authors identified 275 cases of schistosomiasis of which 230 were due to S. Hematobium and 45 to S. Mansoni. The diagnostic methods were biopsy of the rectal mucosa, immunofluorescence, in the West Indians, examination of the stools, in the Africans examination of the urine, intravenous urography and less often cystoscopy. The value of these investigations was studied in each case, then by comparison with one another and with data in the literature. The most valuable investigation was biopsy of the rectum, better in Africans than examination of the urine, immunofluorescence and better than cystoscopy when this was possible.
在总共486名来自法属赤道非洲、西印度群岛或印度洋的患者中,作者识别出275例血吸虫病病例,其中230例由埃及血吸虫引起,45例由曼氏血吸虫引起。诊断方法包括直肠黏膜活检、免疫荧光法(用于西印度群岛患者)、粪便检查(用于非洲患者)、尿液检查、静脉尿路造影,较少使用膀胱镜检查。对每例患者的这些检查的价值进行了研究,然后相互比较并与文献数据进行比较。最有价值的检查是直肠活检,对非洲患者而言,直肠活检比尿液检查、免疫荧光法更有效,且在可行时比膀胱镜检查更有效。