McMillan A, Lee F D
Gut. 1981 Dec;22(12):1035-41. doi: 10.1136/gut.22.12.1035.
The aims of the study were to determine what microscopic changes occur in the rectal mucosa of men who have had anal intercourse and to correlate the sigmoidoscopic and microscopic appearances. Histological abnormalities were found in 29 of 100 men who attended consecutively a sexually-transmitted diseases clinic. The histopathology of rectal gonorrhoea, as observed in 18 patients, is described as are the microscopic findings in the rectal mucosa of 10 patients with early syphilis. Of 70 men without any detectable rectal infection, biopsies from 15 (21.4%) were abnormal. Intestinal spirochaetosis was observed in biopsies from 36 of these 100 men. With the use of strict criteria to describe the macroscopic appearance of the rectal mucosa, the sigmoidoscopic findings correlated well with the histology.
该研究的目的是确定有肛交行为的男性直肠黏膜会出现哪些微观变化，并将乙状结肠镜检查结果与微观表现进行关联。在连续就诊于一家性传播疾病诊所的100名男性中，有29人发现了组织学异常。描述了18例患者中观察到的直肠淋病的组织病理学情况，以及10例早期梅毒患者直肠黏膜的微观检查结果。在70名未检测到直肠感染的男性中，15例（21.4%）的活检结果异常。在这100名男性中的36例活检中观察到肠道螺旋体病。使用严格标准描述直肠黏膜的宏观表现时，乙状结肠镜检查结果与组织学结果相关性良好。
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