同性恋男性的直肠炎。一个诊断难题。
Proctitis in homosexual men. A diagnostic problem.
作者信息
McMillan A, Gilmour H M, Slatford K, McNeillage G J
出版信息
Br J Vener Dis. 1983 Aug;59(4):260-4. doi: 10.1136/sti.59.4.260.
One hundred and seventy six men with histories of anal intercourse were studied to determine if there was a correlation between the clinical features, cytological findings in the mucosal secretions, and the histological appearance of the rectal mucosa. The presence or absence of gastrointestinal symptoms did not differentiate between patients with and without proctitis. Sigmoidoscopy was normal in each of the 117 men with normal rectal histology. Macroscopic abnormalities were evident in the mucosa of nine of 11 men with infective proctitis, and sigmoidoscopy was normal in 40 of the 48 men with chronic proctitis. Cytological examination was often useful in detecting infective proctitis but not chronic proctitis.
对176名有肛交史的男性进行了研究，以确定临床特征、黏膜分泌物的细胞学检查结果与直肠黏膜的组织学表现之间是否存在关联。有无胃肠道症状并不能区分患有和未患直肠炎的患者。117名直肠组织学正常的男性，其乙状结肠镜检查均正常。11名感染性直肠炎男性中有9名黏膜出现肉眼可见的异常，48名慢性直肠炎男性中有40名乙状结肠镜检查正常。细胞学检查在检测感染性直肠炎时通常很有用，但对慢性直肠炎则不然。
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