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时间:2020-04-20
《霉菌性胃溃疡的内镜、临床病理分析及防治研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、《中国医学创新》第11卷第20(总第302)20l4年7月医学综合Yixuezonghe霉菌性胃溃疡的内镜、临床病理分析及防治研究李孟徽①周俊才①【摘要】目的:探讨霉菌性胃溃疡的内镜、临床病理特征及防治方法。方法:对32例霉菌性胃溃疡进行内镜表现分析及病理组织学观察,内镜下清创后喷洒联合药物治疗并结合去除致病诱因。结果:霉菌性溃疡内镜主要表现为巨大溃疡,特点是大、深、不规整。少部分表现为片状糜烂、坏死及颗粒状。病理组织学表现主要为溃疡或糜烂灶的浅表炎性渗出坏死物及周围黏膜中见有数量不等的霉菌孢子或/和菌丝。治愈29例,治愈率90.6%。结论:霉菌性胃溃疡内镜下主要表现为巨大不规整溃疡
2、,不易确诊。确诊主要依靠病理学检查。内镜下清创后喷洒联合药物治疗并结合去除致病诱因是治愈霉菌性胃溃疡、避免不必要手术、提高患者生活质量的有效方法。【关键词】霉菌性胃溃疡;病理特征;内镜下清创术;联合药物治疗AStudyontheEndoscope,Clinicopathology,PreventionandTreatmentofMycoticGastricUlcer/LIMeng-hui,ZHOUJun-caiJ/MedicalInnovationofChina,2014,11(20):109-111【Abstract】objective:Toinvestigatetheendosc
3、opicandclinic0path0l0gicalcharacteristicsandmethodsofpreventionandtreatmentofmycoticgastriculcer.Method:Theendoscopicfindingsandthehistopathologyfrom32casesofmycoticgastriculcerwerestudied.Allpatientsweretreatedbysprayingcombineddrugontheulceraftertheendoscopicdebridement,andcombinedwiththeremo
4、valofpathogenicincentives.Result:Themajorfindingofendoscopypresentedwithhugeulcerwhosedistinguishingfeaturesweresizable,deepanduneven.Asmallnumberofthemdisplayedwithpiece-formerosion,necrosisandgranularform.Theexpressionofpathohistologywasthatthereweremoreorlessmouldsporesor/andhyphaeininflamma
5、toryexudateandnecrotictissuesonthesurfaceoftheulcerandperipheralmucousmembranes.29caseswerecured.thecureratewas90.6%.Conclusion:Thefindingssuggestthatthemycoticgastriculcergenerallytakestheformofunevenhugeulcertypeunderendoscopycheck-up.Endoscopyscreeningisnoteasytodiagnose.Therefore,pathologic
6、alexaminationisdependable.Thatendoscopicdebridementandsprayingcombineddrug,andcombinedwiththeremovalofpathogenicincentivesisaneffectivewaytocuremycoticgastriculcer,toavoidunnecessaryoperationandtoimprovethequalityoflifeofthepatients.【Keywords】Mycoticgastriculcer;Pathologicalfeatures;Endoscopicd
7、ebridement;CombineddrugtherapyFirst-author’Saddress:The206thHospitalofPLA。Tonghna134001,Chinadoi:10.3969/j.issn.1674—4985.2014.20.039胃感染霉菌所致的溃疡,常规治疗溃疡的方法常部疼痛规律性消失、消瘦、乏力、纳差。其中14例伴无效而经久不愈,在临床上及内镜下与癌性溃疡不易有轻微的呕血和黑便。基础疾病和诱因:使用肿瘤化区别,容易误
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