成年人尾炎的罕见原因:寄生虫尾炎
Abidin Tüzün1, Cemalettin Durgun2, Erkan Dalbaşı3
1Department of General Surgery, University of Health Sciences Diyarbakır Gazi Yaşargil Health Application and Research Center.
概括
寄生虫感染,特别是Enterobius vermicularis,是成年人急性尾炎的重要原因之一. 这项研究强调了它们在尾切除病例中的作用,确定了EV是最常见的罪祸首.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 手术病理学手术病理学
背景情况:
- 急性尾炎是全球常见的手术紧急情况.
- 尾炎的症状包括恶心,吐和迁移的腹痛.
- 虽然便是常见的原因,但寄生虫很少会导致尾炎.
研究的目的:
- 在急性尾炎病因学中调查寄生虫感染的发生率.
- 分析成年尾切除患者寄生虫尾炎的人口统计和组织病理学发现.
主要方法:
- 从2011年1月到2023年1月,对10,658名尾切除记录 (年龄超过15岁的患者) 的回顾性审查.
- 包括114名患有寄生虫感染病体学证据的患者.
主要成果:
- 114名患者因寄生虫感染而进行尾切除,53.5%的男性,46.5%的女性.
- 组织病理学显示急性尾炎 (61.4%),性尾炎 (19.3%),性尾炎 (13.2%),以及穿孔性尾炎 (6.1%).
- 在94.7%的病例中,发现了Enterobius vermicularis,在3.5%的病例中发现了Taenia saginata,在1.8%的病例中发现了Ascaris lumbricoides.
结论:
- 寄生虫感染,特别是Enterobius vermicularis,可能是导致急性尾炎发展的一个因素.
- 在这个队列中,Enterobius vermicularis成为寄生虫相关尾炎的主要原因.
- 寄生虫在尾炎发病过程中的确切作用需要进一步研究.
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