10例艾滋病相关胆管病患者系列研究
AIDS-associated cholangiopathy in a series of ten patients.
作者信息
Castiella A, Iribarren J A, López P, Barrio J, Von Wichmann M A, Alzate L F, Arrizabalaga J, Rodríguez F, Arenas J I
机构信息
Servicio de Aparato Digestivo, Hospital Nuestra Señora de Aránzazu, San Sebastián, Spain.
出版信息
Rev Esp Enferm Dig. 1998 Jun;90(6):419-30.
OBJECTIVE
To present the clinical, biological, radiologic and cholangiographic findings in patients with clinical suspicion of AIDS associated cholangiopathy in our hospital.
PATIENTS AND METHODS
We have revised the clinical charts of 10 patients admitted in our hospital from 1991 to 1995.
RESULTS
Ultrasonography and/or abdominal CT were carried out on all the patients. Biliary tract dilatation was observed in 11 cases. From the 12 ERCP, biliary tract was fulfilled in 11. In 5 cases papillary stenosis was diagnosed, sclerosing cholangitis in 2, normal biliary tract in 3 and acute cholangitis in one case. Sphincterotomy was done in 5 patients, with clinical improvement. In one case, another sphincterotomy was needed because of reestenosis.
CONCLUSIONS
ERCP is very important in the diagnosis of AIDS associated cholangiopathy. Endoscopic sphincterotomy relieves abdominal pain in these patients. Cholangiopathy occurs in very immunocompromised HIV positive patients. Survival is very short.
目的
介绍我院临床怀疑患有艾滋病相关性胆管病患者的临床、生物学、放射学及胆管造影检查结果。
患者与方法
我们查阅了1991年至1995年期间我院收治的10例患者的临床病历。
结果
对所有患者均进行了超声检查和/或腹部CT检查。11例观察到胆道扩张。12例接受内镜逆行胰胆管造影（ERCP）检查，其中11例显示胆道情况。诊断为乳头狭窄5例，硬化性胆管炎2例，胆道正常3例，急性胆管炎1例。5例患者接受了括约肌切开术，临床症状改善。1例患者因再狭窄需要再次进行括约肌切开术。
结论
ERCP在艾滋病相关性胆管病的诊断中非常重要。内镜括约肌切开术可缓解这些患者的腹痛。胆管病发生于免疫功能极度低下的HIV阳性患者。生存期很短。
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