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目的探讨血吸虫病流行地区病理诊断血吸虫病的特点。方法选择2003-2012年眉山市人民医院手术切除和/或消化内镜活检病理标本,以查见血吸虫卵或虫卵肉芽肿为诊断标准,并收集相关临床资料。结果共检查病理标本56 237例,诊断为血吸虫病498例,占0.9%。其中阑尾为最常见病变部位,共241例,其次为结、直肠209例,肝脏23例。此外尚有25例病变分布于其他较少见的部位,其中归属门静脉系统的胆囊12例,胃7例,十二指肠2例,小肠1例,门静脉系统外的异位损害3例。阑尾炎和结、直肠癌是最常见的疾病类型。结论血吸虫病患者病变部位的分布特点能在一定程度上反映其临床病理过程。
Objective To investigate the characteristics of schistosomiasis in schistosomiasis endemic areas. Methods Meishan and People’s Hospital of Meishan City, 2003-2012 surgical resection and / or digestive endoscopy biopsy specimens to see the schistosome eggs or egg granuloma as the diagnostic criteria, and collect the relevant clinical data. Results A total of 56 237 pathological specimens were examined, and 498 cases were diagnosed as schistosomiasis, accounting for 0.9%. Among them, appendix was the most common lesion, with 241 cases in total, followed by 209 cases of rectum and 23 cases of liver. In addition there are 25 cases of lesions located in other less common parts, including the gallbladder in the portal vein system in 12 cases, 7 cases of stomach, duodenum in 2 cases, 1 case of small intestine, portal vein outside the ectopic damage in 3 cases. Appendicitis and knot, rectal cancer is the most common type of disease. Conclusion The distribution of the diseased parts of patients with schistosomiasis can reflect its clinicopathological process to a certain extent.