AIDS合并肺外结核病人术后病理表现与外科治疗

发布时间：2018-05-01 17:18

本文选题：艾滋病合并肺外结核病人 + 外科手术治疗　；参考：《中国艾滋病性病》2015年07期

【摘要】：目的研究艾滋病(AIDS)合并肺外结核病人外科术后的病理表现与外科治疗。方法回顾性分析上海市公共卫生临床中心外科45例经病原学及临床诊断为AIDS合并肺外结核病人,外科手术后切取标本的病理表现与外科治疗。结果 45例AIDS合并肺外结核病人,外科术后病理表现示抗酸染色阳性38例(84.4%),上皮样肉芽肿31例(68.9%),干酪样坏死28例(62.2%),炎细胞浸润25例(55.6%),凝固性坏死22例(48.9%),多核巨细胞19例(42.2%)。45例外科手术治疗病人术后随访2个月,全部治愈。结论 AIDS合并肺外结核病人外科术后的病理表现,主要以增生、坏死为主,常表现为抗酸染色阳性、上皮样肉芽肿、干酪样坏死等,外科手术治疗AIDS合并肺外结核具有良好的效果。
[Abstract]:Objective to study the pathological manifestations and surgical treatment of patients with AIDS combined with extrapulmonary tuberculosis. Methods Retrospective analysis of the pathological and clinical diagnosis of 45 patients with AIDS combined with extrapulmonary tuberculosis in Shanghai public health clinic, the pathological manifestations and surgical treatment of surgical excision specimens. Results of the results of 45 cases of AIDS combined. Patients with extrapulmonary tuberculosis showed 38 cases of positive acid staining (84.4%), 31 cases of epithelioid granuloma (68.9%), 28 cases of caseous necrosis (62.2%), 25 cases of inflammatory cell infiltration (55.6%), 22 cases of coagulative necrosis (48.9%), 19 cases of multinuclear giant cells (42.2%).45 cases, and all patients were followed up for 31 months and all cured. Conclusion AIDS merger The pathological manifestations of patients with extrapulmonary tuberculosis after surgery are mainly hyperplastic and necrotic, often characterized by acid positive staining, epithelioid granuloma and caseous necrosis. Surgical treatment of AIDS with extrapulmonary tuberculosis has a good effect.

【作者单位】：上海市复旦大学附属公共卫生临床中心外科;上海市复旦大学附属公共卫生临床中心病理科;
【分类号】：R512.91;R655.3

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