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目的探讨真菌性食管炎的临床特点。方法对95例真菌性食管炎患者的临床资料、内镜改变、病理、真菌培养及治疗情况进行分析。结果真菌性食管炎中>40岁以上者占72.63%,≤40岁者占27.37%;内镜下Ⅰ级者占31.57%,Ⅱ级占35.38%,Ⅲ级占27.36%,Ⅳ级占5.69%。以中下段多见。真菌培养中有白色念珠菌、克柔氏念珠菌、酵母菌、热带念珠菌、光滑念珠菌、酿酒念珠菌等。结合原发病、诱因及真菌种类个体化治疗有效率达94.7%。结论结合临床、内镜、真菌种类对真菌性食管炎应采取个体化治疗,临床中应注意对真菌性食管炎的预防。
Objective To investigate the clinical features of fungal esophagitis. Methods 95 cases of fungal esophagitis in patients with clinical data, endoscopic changes, pathology, fungal culture and treatment were analyzed. Results Fungal esophagitis accounted for 72.63% of the patients over 40 years old, 27.37% of those ≤40 years old, 31.57% of grade Ⅰ, 35.38% of grade Ⅱ, 27.36% of grade Ⅲ and 5.69% of grade Ⅳ, . More common in the lower section. Fungal culture Candida albicans, Candida krusei, yeast, Candida tropicalis, Candida glabrata, Candida albicans and so on. Combined with the primary disease, incentives and fungal species of individualized treatment efficiency of 94.7%. Conclusion Combined with clinical, endoscopic and fungal species of fungal esophagitis should be individualized treatment, clinical should pay attention to the prevention of fungal esophagitis.