文档介绍：真菌性食管炎35例分析【关键词】真菌性食管炎;胃镜;细胞学刷片【摘要】目的探讨真菌性食管炎的病因及防治。方法分析我院5年来发现的真菌性食管炎35例的胃镜、病理及临床资料。结果本组病例占同期所有食管炎病人的%。平均年龄岁。胸骨后疼痛15例,吞咽烧灼感11例,吞咽梗阻感6例,无食管症状者3例。胃镜下伴消化性溃疡7例,疣状胃炎2例,胆汁反流性胃炎2例,胃癌1例,慢性浅表性胃炎23例。胃镜下类型为颗粒型21例,斑片型12例,糜烂溃疡型2例。细胞学刷片均发现菌丝或孢子。全部用***康唑治疗,21例3周后复查胃镜,结果显示16例显效,5例有效。结论真菌性食管炎近年来呈逐年增高的趋势,特别应重视医源性因素所致的感染。【关键词】真菌性食管炎;胃镜;细胞学刷片Analysesofcasesofmyocoticesophagitis【Abstract】onductinggastroscopic,pathologic,andclinicalanalysesofcasesofmyocoticesophagitiseverfoundinLuzhouTCMHospitaloverthepastAmongthisgroupofpatients,averageandcovering%ofthetotalcasesofmyocoticesophagitisinthesameperiod,therewere1casessufferingfromretrosternalpain,11cases,fromburningfeelingwhenswallowing,cases,fromclosurewhenswallowingandcases,fromnon-esophagustestsrevealedcasesofpepticulcer,casesofverrcousesophagitis,casesofesophagitisofregurgitantbile,arcinomaandcasesofchronicsuperficialtestsshowedtypesofesophagitis:21casesofparticulatetype,1casesofthepatchtypeandcasesoferosiveulcerandsporeswerefoundinsmeara-weektreatmentwithfluconazole,gastroscopictestsshowed1casesweresomewhatimprovedandcases,effectivelyThereisatendencythatthenumberofcasesofmyocoticesophagitishasbeenincreasingyearbyyear,andgreatattentionmustbepaidtoiatrogenicinfection.【Keywords】myocoticesophagitis;gastroscope;cytologicsmeartest真菌性食管炎是指食管感染以白色念珠菌为主的真菌所致的炎症。白色念珠菌广泛存在于自然界,是人体消化道的正常菌群[1]。近年来由于各种原因导致免疫力低下的人群增多,长期大量使用抗生素及皮质激素等医源性因素上升,使真菌性食管炎发病率有所增加,我院收集XX年1