摘要
目的：探讨胃及十二指肠霉菌感染的内镜及病理特征及部分病例漏诊原因分析。方法：对73例胃及十二指肠霉菌感染内镜表现进行分析及病理常规HE染色，其中1例免疫组织化学检查（S-P法）。结果：男性（68／73），女性（5／73），30～50岁居多。霉菌性溃疡内镜主要表现为巨大溃疡，特点为一大、二深、三不整，直径多在3cm以上。少部分表现为不规则增生、片状坏死、糜烂及颗粒状。病理组织学表现主要为溃疡底部坏死组织及周围粘膜中见有数量不等的霉菌孢子或（和）菌丝。结论：胃及十二指肠霉菌感染内镜主要表现为巨大不整溃疡，临床上及内镜检查易漏诊。其确诊主要依靠病理学检查。
Objective ：To investigate the endoscopic and clinic-pathological features of the mycosis infection in stomach and duodenum. Methods ： The endoscopic findings from 73 cases of mycosis infection in stomach and duodenum were examined by HE staining besides one case by immunohistochemical method. Results ： Of 73 patients, the age range of 30 to 50 years accounted for a large of portion of the incidence, and the ratio of male to female was 93.2% （68/73） and 6.8% （5/73） The major finding of endoscopy presented with huge ulcer whose distinguishing fcatures were sizable,deep and uneven with a diameter of more than 3 cm. A small number of them displayed with irregular proliferation,piece-form necrosis, erosion and granular form. The expression of pathohistology was that there were more or less mould spores or （and） hyphae in necrotic tissues at the bottom of the ulcer and peripheral mucous membranes. Conclusion ： The findings suggest that the mycosis infection in stomach and duodenum generally takes the form of uneven huge ulcer type under endoscopy check-up. Clinical check-up and endoscopy screening can easily lead to missed diagnosis. Therefore, pathological examination is dependable.
出处
《皖南医学院学报》
CAS
2007年第4期272-274,共3页
Journal of Wannan Medical College
关键词
胃
十二指肠
霉菌感染
内镜
病理学
stomach
duodenum
mycc,sis infection
endoscopy
pathology
