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目的研究艾滋病(AIDS)合并肺外结核病人外科术后的病理表现与外科治疗。方法回顾性分析上海市公共卫生临床中心外科45例经病原学及临床诊断为AIDS合并肺外结核病人,外科手术后切取标本的病理表现与外科治疗。结果 45例AIDS合并肺外结核病人,外科术后病理表现示抗酸染色阳性38例(84.4%),上皮样肉芽肿31例(68.9%),干酪样坏死28例(62.2%),炎细胞浸润25例(55.6%),凝固性坏死22例(48.9%),多核巨细胞19例(42.2%)。45例外科手术治疗病人术后随访2个月,全部治愈。结论 AIDS合并肺外结核病人外科术后的病理表现,主要以增生、坏死为主,常表现为抗酸染色阳性、上皮样肉芽肿、干酪样坏死等,外科手术治疗AIDS合并肺外结核具有良好的效果。
Objective To study the pathological manifestations and surgical treatment of AIDS complicated with extra-pulmonary tuberculosis after surgery. Methods Retrospective analysis of 45 cases of pathologically and clinically diagnosed AIDS complicated with extrapulmonary tuberculosis in Shanghai Public Health Clinical Center. The pathological findings and surgical treatment of the specimens after surgical operation were retrospectively analyzed. Results 45 cases of AIDS complicated with extrapulmonary tuberculosis patients were pathologically showed 38 cases (84.4%) with acid-fast staining, 31 cases (68.9%) with epithelioid granuloma, 28 cases (62.2%) with caseous necrosis, inflammatory cells Infiltration in 25 cases (55.6%), coagulation necrosis in 22 cases (48.9%), multinucleated giant cells in 19 cases (42.2%). 45 cases of surgical treatment of patients were followed up for 2 months, all cured. Conclusions The histopathological findings of AIDS patients with extrapulmonary tuberculosis after surgery are mainly hyperplasia and necrosis. They often show acid-fast staining, epithelioid granuloma, caseous necrosis and so on. Surgical treatment of AIDS complicated with extrapulmonary tuberculosis is good Effect.