鼻硬结病的临床特点及病理诊断研究  

Clinical Characteristics and Pathological Diagnosis of Rhinoscleroma

作　　者：徐良 王纾宜 XU Liang;WANG Shu-yi(Department of Pathology,Eye and ENT Hospital of Fudan University,Shanghai 200031, China)

机构地区：[1]上海复旦大学附属眼耳鼻喉科医院病理科,上海200031

出　　处：《医学信息》2019年第5期167-169,共3页Journal of Medical Information

摘　　要：目的探讨鼻硬结病的临床特点及病理诊断价值。方法收集2014年4月～2018年12月复旦大学附属眼耳鼻喉科医院10例硬结病患者资料进行回顾性分析,对硬结病临床、病理学特征及六胺银染色结果进行分析研究。结果 9例患者病变累及鼻部(1例同时累及气管,1例同时累及软腭),另1例侵犯会厌。最常见的症状为鼻塞(9例),其次为流涕(2例),鼻出血(2例),头痛(1例),嗅觉下降(1例),呼吸不畅(1例)及咽部异物感(1例)。通过六胺银染色显示,5例形态不典型硬结病病例中有4例短杆状菌体。结论硬结病常累及上呼吸道,鼻腔是常见发病部位,六胺银特殊染色在硬结病病理诊断有较大作用,是诊断硬结病的重要辅助手段。Objective To investigate the value of special staining of hexamine silver in diagnosis of scleroconjunctival disease.Methods The clinicopathological data of 10 cases of scleroderma were collected for retrospective analysis,and hexamamine silver staining was performed in the atypical cases.Results 4 out of 5 cases with atypical scleroderma showed short rods by silver hexamine staining.Conclusion The special staining of hexamamine silver plays a significant role in the pathological diagnosis of scleroderma and is an important auxiliary method for the diagnosis of scleroderma.

关 键 词：硬结病 鼻 六胺银 

分 类 号：R73[医药卫生—肿瘤] R76[医药卫生—临床医学]