肛肠外科的门诊手术

Ambulatory procedures in anorectal surgery.

作者信息

Stern H, McLeod R, Cohen Z, Ross T

出版信息

Adv Surg. 1987;20:217-43.

Abstract

In view of the broad spectrum of conventional and unconventional STDs in the homosexual man, the following diagnostic workup is recommended: History. Physical examination, including proctosigmoidoscopy with biopsy. Urethral, pharyngeal, and rectal cultures. Darkfield examination of any genital ulceration. Stool cultures for bacteria and parasites. Serologic analysis, including VDRL and, where indicated, for Chlamydia trachomatis and amebiasis. It is an essential part of proctologic practice for the surgeon to be able to recognize, diagnose, and treat sexually transmitted diseases.

摘要

鉴于同性恋男性中传统和非传统性传播疾病的广泛范围，建议进行以下诊断检查：病史。体格检查，包括直肠乙状结肠镜检查及活检。尿道、咽部和直肠培养。对任何生殖器溃疡进行暗视野检查。粪便细菌和寄生虫培养。血清学分析，包括性病研究实验室试验（VDRL），并在必要时检测沙眼衣原体和阿米巴病。外科医生能够识别、诊断和治疗性传播疾病是直肠病学实践的重要组成部分。