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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10.	郑刚, 成永达, 寸新华, 等. 艾滋病患者外科手术 80 例体会. 昆明医学院学报, 2010, 31(5): 146-148.
11.	韦永忠. HIV/AIDS 合并外科疾病 18 例手术治疗体会. 现代保健医学创新研究, 2008, 5(32): 19-20.
12.	邬焱, 冯秀岭, 赵瑞银, 等. 282 例 HIV/AIDS 病人合并外科疾病的诊断和治疗. 中国艾滋病性病, 2013, 19(5): 331-333.
13.	成永达, 吴磊, 寸新华, 等. 医护人员在普外手术中对 HIV 的防护. 中华现代护理杂志, 2009, 33(2): 78-79.
14.	刘保池, 刘立, 李垒, 等. HIV 感染者的外科治疗与医务人员职业暴露防护分析. 中国全科医学, 2010, 13(4): 448-449.
15.	赵东, 何清, 陶红光, 等. HIV/AIDS 合并普外科疾病临床诊治分析. 中华实验和临床感染病杂志, 2015, 9(3): 356-358.

1. 黄选兆, 汪吉宝, 孔维佳, 等. 实用耳鼻咽喉头颈外科学. 2 版. 北京: 人民卫生出版社, 2008: 1179-1185.
2. 李永强, 黄健, 张文山. 人类免疫缺陷病毒感染及艾滋病在耳鼻咽喉头颈外科的临床表现. 中华耳鼻咽喉头颈外科杂志, 2011, 46(3): 232-234.
3. 王玉红, 陈萍. 46 例抗 HIV 阳性者合并耳鼻咽喉疾病的临床表现及治疗分析. 现代医学, 2016, 44(3): 315-318.
4. 宁永红, 黄锐, 王颋, 等. 耳鼻咽喉头颈外科疾病患者 HIV 阳性的临床表现分析. 临床耳鼻咽喉头颈外科杂志, 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. 杨震, 高燕宁, 杨志寅. HIV 感染者和 AIDS 患者的外科问题及诊疗行为模式. 中国行为医学科学, 2006, 15(4): 289-293.
7. 施加政, 李明武, 王忠平, 等. HIV/AIDS 围手术期的管理. 中国艾滋病性病, 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. 郑刚, 成永达, 寸新华, 等. 艾滋病患者外科手术 80 例体会. 昆明医学院学报, 2010, 31(5): 146-148.
11. 韦永忠. HIV/AIDS 合并外科疾病 18 例手术治疗体会. 现代保健医学创新研究, 2008, 5(32): 19-20.
12. 邬焱, 冯秀岭, 赵瑞银, 等. 282 例 HIV/AIDS 病人合并外科疾病的诊断和治疗. 中国艾滋病性病, 2013, 19(5): 331-333.
13. 成永达, 吴磊, 寸新华, 等. 医护人员在普外手术中对 HIV 的防护. 中华现代护理杂志, 2009, 33(2): 78-79.
14. 刘保池, 刘立, 李垒, 等. HIV 感染者的外科治疗与医务人员职业暴露防护分析. 中国全科医学, 2010, 13(4): 448-449.
15. 赵东, 何清, 陶红光, 等. HIV/AIDS 合并普外科疾病临床诊治分析. 中华实验和临床感染病杂志, 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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