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目的提高对霉菌性食管炎内镜特点和临床表现认识,指导临床用药。方法对79例霉菌性食管炎的临床表现、发病诱因及相关疾病、内镜表现及治疗结果进行分析。结果霉菌性食管炎内镜主要表现是散在白斑及糜烂,发病诱因及相关疾病较多,与抗生素的大量使用关系密切,且发病率逐年增高,目前常用的抗霉菌类药疗效较好。结论霉菌性食管炎有多种上消化道症状,但无特异性。内镜是诊断该病的重要手段,确诊要靠细胞刷涂片找霉菌,对内窥镜检查发现食管炎应注意真菌检测,尤其对H.pylori(幽门螺杆菌)感染与消化道疾病相关患者使用抗生素者应重点检测。目前抗霉菌药物对霉菌性食管炎的疗效较满意,胃镜下管道刷刷洗治疗霉菌性食管炎简单、安全,且无副作用,值得临床推广。
Objective To improve the understanding of endoscopic features and clinical manifestations of fungal esophagitis and guide clinical use. Methods 79 cases of fungal esophagitis clinical manifestations, causes and related diseases, endoscopic findings and treatment results were analyzed. Results The main manifestations of fungal esophagitis endoscopy were scattered white spots and erosion, the incidence of incentives and related diseases are more closely related to the large use of antibiotics, and the incidence increased year by year, currently used antimycotics better curative effect. Conclusion Fungal esophagitis has a variety of upper gastrointestinal symptoms, but no specific. Endoscopy is an important means of diagnosis of the disease, the diagnosis depends on the cell brush smear mold, endoscopy found esophagitis should pay attention to fungal detection, especially for H.pylori (Helicobacter pylori) infection and gastrointestinal disease-related patients Use of antibiotics should focus on testing. At present, anti-fungal drugs are more satisfactory for the treatment of fungal esophagitis. The gastroscopic brushing and brushing treatment of fungal esophagitis is simple, safe and without side effects, which is worthy of clinical promotion.