腸型白塞氏病臨床病理特征分析3例

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1、1M卜華亠13蟲(chóng)3世界華人消化雜志2009年6月8日;17(16):16894692ISSN1009-3079CN14-1260/R腸型白塞氏病臨床病理特征分析3例張淑坤，王建國(guó),周世英，張夢(mèng)嵐,吳彩虹白寒氏是一種原因不明的多系統(tǒng)損害性疾病.合并腸道漬瘍者又稱為腸白賽氏病■為白衣氏病的特殊類(lèi)型.近年本病報(bào)道呈上升越妙.為提高病理及臨床醫(yī)師對(duì)本病的認(rèn)識(shí)，減少海診、謀診率，本丈探討其臨床特雖、病理學(xué)特征及鑒別診斷要點(diǎn)?■同廿評(píng)衩才張曉嵐，教授，河北醫(yī)科大學(xué)第二醫(yī)院消化內(nèi)科張淑坤，王建國(guó).周世英.張夢(mèng)嵐.吳

2、彩虹，青海省人民醫(yī)院病理科青海拓西寧市810007作者貢獻(xiàn)分布：此諫越由張液坤與王建國(guó)設(shè)計(jì)；研究過(guò)程由周世英、張夢(mèng)嵐及吳彩虹完成；本論文寫(xiě)作由張淑翎、王建伍k周世英、張夢(mèng)嵐及吳彩虹完成.通訊作賈:張澈地主治醫(yī)師.810007,■海省西亍帀.■海省人民醫(yī)院柄理科.zhangshukun0475dyahoo.com.cn電13:0971-8066214收稿日期:2009-03-02修回日期:2009-04-11接受日期：2009-04-13在線出版日期:2009-06-08Clinicopathologi

3、calfeaturesofintestinalBehceVsdisease:ananalysisof3casesShu-KunZhang,Jian-GuoWang,Shi-YingZhou,Meng-LanZhang,Cai-HongWuShu-KunZhang,Jian-GuoWang,Shi-YingZhou,Meng-LanZhang,Cai-HongWurDepartmentofPathology,Qin-ghaiProvincePeople'sHospital,Xining810007,Qi

4、nghaiProvince,ChinaCorrespondenceto：Shu?KunZhang,DepartmentofPathology,QinghaiProvincialPeople'sHospital,Xining810007,China,zhangshukun0475@yahoo.com.cnReceived:2009-03-02Revised:2009-04-11Accepted:2009-04-13Publishedonline:2009-06-08AbstractAIM：Toexplo

5、retheclinicalandpathologicalfeatures,anddifferentialdiagnosisofintestinalBehcet'sdisease(BD).METHODS:ThreecasesofintestinalBDwerecollectedinthestudy.Theirclinicalandhistologicalfindingswereexamined.Thepatientsmetthediagnosticcriteriaproposedbythein?tem

6、ationalstudygroupofBD.Thepatientshadgastrointestinalsymptomsandwereaccompa?niedbyseveralmainBDfeatures?RESULTS:TheintestinalulcersofBDmostlyoccurredinthecontralateralofmesenteric,roundanddeep?Histologically,vascularandmucosaaroundintestinalulcerwereinfi

7、ltratedbythelymphocytes.Lymphoproliferationwasobserved,andmainlymanifestedasvasculitis.Glucocorticoidandimmunosuppressantwerethedominantprescriptions.TheprognosisofintestinalBDremainedunsatisfactory.CONCLUSION:EarlydiagnosisofintestinalBDdependsoncompr

8、ehensiveanalysisofpatients'historyandclinicalsymptoms.ThereislackofspecifictreatmentforIntestinalBD.Generalsurgeryisunnecessaryw讓htheexceptionofseverecomplications.KeyWords:IntestinalBehcet'sdisease;Clinicalfeatures;Pathologica