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[HIV感染患者直肠疾病的外科手术经验]

[Experiences in surgery of proctologic diseases in patients with HIV infection].

作者信息

Stratmann H, Kaminski M, Lauschke H, Hirner A

机构信息

Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie, Rheinische Friedrich-Wilhelms-Universität Bonn.

出版信息

Chirurg. 1999 Dec;70(12):1475-9. doi: 10.1007/s001040050089.

DOI:10.1007/s001040050089
PMID:10637705
Abstract

Individuals who are seropositive for the human immunodeficiency virus (HIV) often suffer from disorders affecting the anorectum, but unfortunately the best kind of treatment frequently seems questionable. In a retrospective investigation we reviewed 29 HIV-positive patients with anorectal lesions who had experienced a proctologic operation. Our impression correlates with other findings according to which HIV-positive patients in advanced stages have a poorer post-operative outcome in terms of morbidity and survival than patients in an early CDC disease stage. This implies that the indication for a proctologic operation in an immunocompromised state has to be considered carefully.

摘要

人类免疫缺陷病毒(HIV)血清反应呈阳性的个体常常患有影响肛门直肠的疾病,但不幸的是,最佳治疗方法常常似乎存在疑问。在一项回顾性调查中,我们审查了29例接受过直肠手术的HIV阳性肛门直肠病变患者。我们的印象与其他研究结果相符,即晚期HIV阳性患者在发病率和生存率方面的术后结果比处于疾病早期CDC阶段的患者更差。这意味着在免疫功能低下状态下进行直肠手术的适应症必须仔细考虑。

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