Suzanne J, Miguet J P, Pageaut J P, Carayon P, Pageaut G, Gisselbrecht H
Nouv Presse Med. 1978 Jun 24;7(25):2245-7.
The authors have performed nine rectoscopies in 14 cases of pseudomembranous colitis. A rectoscopic appearance enables eight times out of nine to diagnose the disease, which asserts itself in all cases by biopsies. Out of the nine cases, two had previously undergone an unnecessary laparotomy, and for three cases the diagnosis of rectal tumour established on rectal digital examination is twice set right by rectoscopic appearance and three times by biopsies. In the remaining five cases with mild intestinal symptoms and severe associated disease the diagnosis was only made with autopsies. A systematic rectoscopy with biopsies is indicated in all patients treated with antibiotics who present an unexplained diarrhea, collapsus or acute abdominal syndrom.
作者对14例伪膜性结肠炎患者进行了9次直肠镜检查。直肠镜检查结果在9次中有8次能够诊断出该病，而在所有病例中通过活检均可确诊。9例患者中，2例之前接受了不必要的剖腹手术，另外3例经直肠指检诊断为直肠肿瘤，其中2例通过直肠镜检查纠正诊断，3例通过活检纠正诊断。其余5例有轻微肠道症状且伴有严重相关疾病的患者，仅通过尸检才得以确诊。对于所有接受抗生素治疗且出现不明原因腹泻、虚脱或急性腹部综合征的患者，均应进行系统的直肠镜检查并活检。
