58例艾滋病患者结肠镜检查结果分析

Clinical analysis of colonoscopic manifestations of intestinal complications in 58 AIDS patients

摘要:

目的 探讨艾滋病患者肠道并发症的结肠镜下表现形式。方法 统计并分析2015年3月－2019年12月浙江中医药大学附属杭州西溪医院内镜中心58例艾滋病患者的结肠镜检查结果。结果 结肠镜检查发现溃疡12例，占位6例，息肉11例，糜烂9例，肛门赘生物3例，未见异常者17例。41例有结肠病变的患者中，病理表现为慢性炎症13例，结核3例，结核合并真菌感染1例，肉芽肿性炎2例，淋巴瘤2例，不典型增生1例，腺癌3例，鳞状细胞癌1例，尖锐湿疣3例，腺瘤5例，增生性息肉4例，未做病理诊断3例。结论 艾滋病患者肠道并发症的发生率较高，有肠道症状的患者应尽早行结肠镜检查。

Abstract:

Objective To explore the manifestation of intestinal complications in AIDS patients under colonoscopy.Methods The results of colonoscopy in 58 AIDS patients from March 2015 to December 2019 were analyzed.Results Colonoscopy revealed 12 cases of ulcers, 6 cases of lumps, 11 cases of polyps, 9 cases of erosions, 3 cases of anal neoplasms, and 17 cases with no abnormalities. Among the 41 patients with colon disease, the pathological manifestations were 13 cases of chronic inflammation, 3 cases of tuberculosis, 1 case of tuberculosis with fungal infection, 2 cases of granulomatous inflammation, 2 cases of lymphoma, 1 case of dysplasia, 3 cases of adenocarcinoma, 1 case of squamous cell carcinoma, 3 cases of condyloma acuminatum, 5 cases of adenoma, 4 cases of hyperplastic polyps, no pathological diagnosis was made in 3 cases.Conclusion The incidence of intestinal complications remains high in AIDS patients. Patients with intestinal discomfort should undergo colonoscopy as soon as possible.