Chin J Schisto Control ›› 2013, Vol. 25 ›› Issue (4): 428-.

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Analysis of lesions in 498 schistosomiasis patients

HAO Wei-gang1 | WANG Xiao-ming2 | YI Wen-quan1 | GAO Yuan-ping1*   

  1. 1 Department of Gastroenterology|People’ s Hospital of Meishan City| Sichuan Province| Meishan 620010|China; 2 Department of Pathology| People’ s Hospital of Meishan City| Sichuan Province| China
  • Online:2013-08-15 Published:2013-08-27
  • Contact: GAO Yuan?ping

498例血吸虫病患者病变部位分析

郝卫刚1|王小明2|易文全1|高元平1*   

  1. 1四川省眉山市人民医院消化内科 (眉山620010); 2四 川省眉山市人民医院病理科
  • 通讯作者: 高元平

Abstract: Objective To explore the characteristics of pathological diagnosis in schistosomiasis endemic areas. Methods The patients were selected from the Meishan City People’ s Hospital and they had the operation excisions and/or digestive endo? scopic biopsy specimens from 2003 to 2012. The diagnostic criteria of schistosomiasis were finding the schistosome eggs or egg granulomas,and the relevant clinical data were also collected. Results A total of 56 237 pathological specimens were checked and 498 patients were diagnosed with schistosomiasis(0.9%) . Among them,the appendix was the most common lesion(241 cas? es),followed by the colon and rectum(209 cases),liver(23 cases),and others(25 cases)including gallbladder(12 cases), stomach(7 cases),duodenum(2 cases),small intestine(1 case),and the outside of the portal vein system(3 cases) . Appendi? citis and colorectal cancer were the most common diseases in these patients. Conclusion The distribution characteristics of the le? sions of schistosomiasis patients can reflect the clinical and pathological process of schistosomiasis in some extent

Key words: Schistosomiasis; Pathology;Diagnostics

摘要: 目的 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 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 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 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。

关键词: 血吸虫病; 病理学; 诊断学

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