慢性胃溃疡并霉菌感染——附80例临床分析

Clinical Analysis of 80 Cases with Fungi Infection in Chronic Gastric Ulcer

本文统计80例慢性胃溃疡并霉菌感染.68例均经手术病理证实(其中先胃镜活检病理证实30例)。48例行霉菌分类,77.2％为毛霉菌,18.7%为白色念珠菌,4.1％分类不详.临床上1/3以上误诊为胃溃疡恶变或胃癌,即使手术开腹肉眼直视病变后被误为恶性溃疡或胃癌者也超过1/3。如临床、胃镜、X线除外恶变,部分病例进行内科抗溃疡,抗霉菌治疗可治愈。45岁以上出现溃疡巨大,无皱襞集中,溃疡底又深或伴有穿透性,不论良、恶性应及时手术治疗.

This paper reports, 80 cases with fungi infection in chronic gastric ulcer. 68 cases of them were identified by pathologic examination after operative biopsy, and 30 cases got the pathologic diagnosis under gastroscopic biopsy. Classification were made in 48 cases. 77.2% were mucoraceae, 18.7% were candida albicans, and 4.1% were unknown. One third of the patients were misdiagnosis gastric ulcer with malignant, or gastric cancer, even the macroscopic examination in operation. The ulcers were healed in some patients with anti-ulcer or anti-fungi treatment after excluding malignant in clinic, endoscopy and X-ray. The patients, over 45 years old, must perform operation whether the ulcer is benign or malignant, when the ulcers were huge, very deep, or chronic perforation, and on folds amass.