Clinical therapeutic analysis of 19 patients with HIV/AIDS treated by otolaryngology surgery_West China Medical Journal

Authors：

ZAN Hongyu ,  FAN Min

Department of Otolaryngology, Public Health Clinical Center of Chengdu, Chengdu, Sichuan 610011, P. R. China;

Corresponding?author：

FAN Min, Email: 406417280@qq.com

Keywords：

Human immunodeficiency virus; Acquired immunodeficiency syndrome; Otolaryngology; Surgery

DOI：

10.7507/1002-0179.201703059

Video：

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Objective To investigate the feasibility and methods of surgical treatment for HIV/AIDS patients with otolaryngology diseases. Methods From January 2016 to February 2017, nineteen patients with HIV/AIDS who underwent otolaryngology surgery were included in this study. The demographic data of patients, including age, gender, course of disease, CD4⁺ T lymphocyte count before operation and disease type were collected and the clinical treatment methods were summarized. The curative effect was analyzed retrospectively. Results The operations of all the 19 patients were successful without occupational exposure among medical staff. One patient with papillary squamous cell carcinoma did not received further treatment. The other 18 patients recovered well and their life quality was significantly improved. Conclusions If HIV/AIDS patients with otolaryngological diseases are examined preoperatively and have no surgical contraindications, the operation shloud be performed by controlling the surgical indications strictly. The life quality of the patients may be improved and the patients’ life may be prolonged after the surgery.

Citation： ZAN Hongyu, FAN Min. Clinical therapeutic analysis of 19 patients with HIV/AIDS treated by otolaryngology surgery. West China Medical Journal, 2017, 32(9): 1391-1394. doi: 10.7507/1002-0179.201703059 Copy

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12.	鄔焱, 馮秀嶺, 趙瑞銀, 等. 282 例 HIV/AIDS 病人合并外科疾病的診斷和治療. 中國艾滋病性病, 2013, 19(5): 331-333.
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1. 黃選兆, 汪吉寶, 孔維佳, 等. 實用耳鼻咽喉頭頸外科學. 2 版. 北京: 人民衛生出版社, 2008: 1179-1185.
2. 李永強, 黃健, 張文山. 人類免疫缺陷病毒感染及艾滋病在耳鼻咽喉頭頸外科的臨床表現. 中華耳鼻咽喉頭頸外科雜志, 2011, 46(3): 232-234.
3. 王玉紅, 陳萍. 46 例抗 HIV 陽性者合并耳鼻咽喉疾病的臨床表現及治療分析. 現代醫學, 2016, 44(3): 315-318.
4. 寧永紅, 黃銳, 王颋, 等. 耳鼻咽喉頭頸外科疾病患者 HIV 陽性的臨床表現分析. 臨床耳鼻咽喉頭頸外科雜志, 2016, 30(3): 247-248.
5. Stock PG, Barin B, Murphy B, et al. Outcomes of kidney transplantation in HIV-infected recipients. N Engl J Med, 2010, 363(21): 2004-2014.
6. 楊震, 高燕寧, 楊志寅. HIV 感染者和 AIDS 患者的外科問題及診療行為模式. 中國行為醫學科學, 2006, 15(4): 289-293.
7. 施加政, 李明武, 王忠平, 等. HIV/AIDS 圍手術期的管理. 中國艾滋病性病, 2007, 13(5): 470.
8. Mielke J, Kalangu KK. The surgeon and human immunodeficiency virus. World J Surg, 2003, 27(8): 967-971.
9. Wheeler DW, Baigrie RJ. Palliative surgery for acute bowel obstruction caused by Kaposi’s sarcoma in a patient with AIDS. Int J Clin Pract, 2003, 57(4): 347-348.
10. 鄭剛, 成永達, 寸新華, 等. 艾滋病患者外科手術 80 例體會. 昆明醫學院學報, 2010, 31(5): 146-148.
11. 韋永忠. HIV/AIDS 合并外科疾病 18 例手術治療體會. 現代保健醫學創新研究, 2008, 5(32): 19-20.
12. 鄔焱, 馮秀嶺, 趙瑞銀, 等. 282 例 HIV/AIDS 病人合并外科疾病的診斷和治療. 中國艾滋病性病, 2013, 19(5): 331-333.
13. 成永達, 吳磊, 寸新華, 等. 醫護人員在普外手術中對 HIV 的防護. 中華現代護理雜志, 2009, 33(2): 78-79.
14. 劉保池, 劉立, 李壘, 等. HIV 感染者的外科治療與醫務人員職業暴露防護分析. 中國全科醫學, 2010, 13(4): 448-449.
15. 趙東, 何清, 陶紅光, 等. HIV/AIDS 合并普外科疾病臨床診治分析. 中華實驗和臨床感染病雜志, 2015, 9(3): 356-358.

West China Medical Journal

Clinical therapeutic analysis of 19 patients with HIV/AIDS treated by otolaryngology surgery

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