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目的探讨真菌性食管炎治疗方法。方法分析我院自2001年1月2007年1月确诊的46例真菌性食管炎的临床表现、电子胃镜下的表现、治疗方法。结果所检病例平均47.5岁,男女之比2.16∶1。临床表现有咽异物感、吞咽疼痛、吞咽不畅感、烧心及胃灼热等。所有患者细胞刷涂片均见到菌丝和/或孢子。用氢氧化铝凝胶联合氟康唑治疗,46例复查胃镜。结果37例显效,显效率为80.43%,7例有效,有效率为15.21%,1例无效,无效率为2.17%。结论氢氧化铝凝胶联合氟康唑能有效地治疗真菌性食管炎。
Objective To investigate the treatment of fungal esophagitis. Methods The clinical manifestations, fungal esophagitis and electron microscopic examination of 46 cases of fungal esophagitis diagnosed in our hospital from January 2001 to January 2007 were analyzed. Results The average number of cases examined was 47.5 years old, the ratio of men to women was 2.16:1. Clinical manifestations of pharyngeal foreign body sensation, swallowing pain, poor sense of swallowing, heartburn and heartburn. Mycelium and / or spores were found on all patients with cell brush smear. Treated with aluminum hydroxide gel and fluconazole, 46 patients underwent endoscopy. Results 37 cases markedly effective rate was 80.43%, 7 cases effective, effective rate was 15.21%, 1 case was ineffective, the inefficiency was 2.17%. Conclusion Aluminum hydroxide gel combined with fluconazole can effectively treat fungal esophagitis.