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大多数阿米巴肝脓肿病人可能有结肠受犯而无症状,但是迄今为止尚未见有关这方面的内镜研究报道。本研究评估阿米巴肝脓肿病人的结肠受犯情况。 方法:研究对象为1992年10月～1993年4月50例阿米巴肝脓肿住院病人(男性48例,女性2例,20～64岁,平均38.7岁±10.4岁)。诊断标准为:典型的临床热型、右上腹痛、肝脏肿大;多形核细胞增多、血清碱性磷酸酶升高、血清抗阿米巴抗体滴度高于1.80;超声波检查提示肝内单个或多个边界清晰的低回声病灶。所有病人均作新鲜粪便阿米巴滋养体检查。在特异抗阿米巴治疗开始前或后24h内作结肠镜检查。检查
Most patients with amoebic hepatic abscess may have colonic colonization asymptomatic, but so far no endoscopic studies have been reported. This study evaluated colon involvement in patients with amoebic liver abscess. Methods: The subjects were 50 inpatients with amoebic abscess (48 males, 2 females, 20-64 years, mean 38.7 years ± 10.4 years) from October 1992 to April 1993. The diagnostic criteria were: typical clinical fever type, right upper quadrant abdominal pain, enlarged liver; polymorphonuclear cells increased serum alkaline phosphatase, serum anti-amoebic antibody titer higher than 1.80; ultrasonography showed that intrahepatic single or Multiple clear hypoechoic lesions. All patients were fresh feces amebic trophozoites examination. Colonoscopy was performed before or after the specific anti-amoebic treatment within 24h. an examination