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蛲虫为人体常见的寄生线虫,一般致病轻微,或无症状。但如雌虫迷路寄生、可导致严重后果。它们可侵入阴道,输卵管,肠系膜,大网膜,肠壁等处,引起以虫体或虫卵为中心的肉芽肿等病变。本文资料系1977～1980年在病理切片会诊中发现,兹将有关病例及鉴别诊断简述如下: 病例1.(病检号771110)女,28岁,因结扎输管后,常感下腹部不适,偶有腹痛,似有小包块,经手术探查,发现大网膜广泛性粘连并有结节,为灰红色软组织,大小:2～3厘米。病理切片会诊,发现雌蛲虫横断面的部分,体表纵嵴及体壁肌胞特征明显,子宫内含成熟虫卵(图1)。
Pinworm is a common parasitic nematode, generally mild or asymptomatic. But if the female gets lost and parasites, can lead to serious consequences. They can invade the vagina, fallopian tubes, mesentery, omentum, intestinal wall and other places, causing worms or eggs as the center of granulomas and other lesions. The information in this article from 1977 to 1980 in pathological consultation found that the relevant cases and differential diagnosis are as follows: Case 1. (Disease No. 771110) Female, 28 years old, due to ligation of the tube, often feel lower abdominal discomfort , Occasionally abdominal pain, it seems a small mass, after surgical exploration and found that the omentum extensive adhesion and nodules, gray-red soft tissue, size: 2 to 3 cm. Pathological consultation, found that part of the cross-section of the female pinworm, body surface longitudinal ridge and body wall muscle cells obvious, the uterus contains mature eggs (Figure 1).