肠型白塞氏病临床病理特征分析3例

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1、1M卜华亠13虫3世界华人消化杂志2009年6月8日;17(16):16894692ISSN1009-3079CN14-1260/R肠型白塞氏病临床病理特征分析3例张淑坤，王建国,周世英，张梦岚,吴彩虹白寒氏是一种原因不明的多系统损害性疾病.合并肠道漬疡者又称为肠白赛氏病■为白衣氏病的特殊类型.近年本病报道呈上升越妙.为提高病理及临床医师对本病的认识，减少海诊、谋诊率，本丈探讨其临床特虽、病理学特征及鉴别诊断要点・■同廿评衩才张晓嵐，教授，河北医科大学第二医院消化内科张淑坤，王建国.周世英.张梦岚.吴

2、彩虹，青海省人民医院病理科青海拓西宁市810007作者贡献分布：此谏越由张液坤与王建国设计；研究过程由周世英、张梦岚及吴彩虹完成；本论文写作由张淑翎、王建伍k周世英、张梦岚及吴彩虹完成.通讯作賈:张澈地主治医师.810007,■海省西亍帀.■海省人民医院柄理科.zhangshukun0475dyahoo.com.cn电13:0971-8066214收稿日期:2009-03-02修回日期:2009-04-11接受日期：2009-04-13在线出版日期: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让htheexceptionofseverecomplications.KeyWords:IntestinalBehcet'sdisease;Clinicalfeatures;Pathologica