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目的探讨HIV/AIDS患者合并耳鼻咽喉科疾病需手术治疗时的可行性及方法。方法以2016年1月—2017年2月期间19例行耳鼻咽喉手术的HIV/AIDS患者作为研究对象。收集患者的一般资料(包括患者的年龄、性别、病程、手术前CD4+T淋巴细胞计数、疾病种类),总结临床治疗方法并对疗效进行回顾性分析。结果 19例患者手术均顺利完成,无医务人员发生职业暴露。1例患者术后病理检查结果为乳头状鳞状细胞癌未行进一步治疗外,其余18例患者均恢复良好,生活质量较前提高。结论对HIV/AIDS患者合并耳鼻咽喉疾病有手术指征时,如术前完善相关辅助检查无明显手术禁忌证时,在严格掌握手术适应证时可行手术,术后可提高患者的生活质量,延长患者的生命。
Objective To investigate the feasibility and method of surgical treatment of otolaryngology diseases in HIV / AIDS patients. Methods From January 2016 to February 2017, 19 HIV / AIDS patients with otorhinolaryngology were enrolled in this study. Collect general information of patients (including patient’s age, sex, course of disease, preoperative CD4 + T lymphocyte count, disease type), summarize the clinical treatment methods and retrospectively analyze the curative effect. Results All the 19 patients completed the operation without occupational exposure. One patient’s postoperative pathological examination results showed papillary squamous cell carcinoma without further treatment, the remaining 18 patients were recovered well, quality of life improved. Conclusions When there are surgical indications for HIV / AIDS patients complicated with otolaryngological diseases, if there is no obvious surgical contraindications during perioperative improvement, it is feasible to strictly control the operation indications. After operation, the quality of life of the patients can be prolonged Patient’s life.