摘要
目的 探讨艾滋病相关性泌尿生殖系疾患的临床表现和治疗选择。方法 回顾分析39例艾滋病相关性泌尿生殖系疾患的临床资料,结合文献进行讨论。结果 艾滋病累及泌尿生殖系可表现为泌尿系感染、前列腺炎、前列腺脓肿、尿道出血、肾病、阴囊阴茎皮肤坏疽、睾丸萎缩、勃起功能障碍、阴茎阴囊卡波济氏肉瘤、睾丸恶性淋巴瘤等。39例中7例死于严重感染、肾功能衰竭及恶性肿瘤。12例联合抗HIV治疗者8例存活,其血液中CD_4T细胞计数均有不同程度的上升。结论 艾滋病累及泌尿生殖系的表现是多样化的,对疾病的充分掌握和选择恰当的治疗方案对提高艾滋病患者的生存率和生活质量有重要意义。
Objective To investigate the genitourinary manifestations of the acquired immunodeficiency syndrome (AIDS) and to improve the curability of AIDS. Methods The clinical data of 39 cases of genitourinary disease associated with AIDS were analyzed retrospectively and the related articles were reviewed. Results AIDS involving the genitourinary system may present as urinary tract infection, prostatitis, prostatic abscess, urethral bleeding, nephropathy, cutaneous gangrene of the scrotum and penis, testicular atrophy, erectile dysfunction,Kaposi'as sarcoma and testicular lymphoma. 7 cases died of severe infection, renal failure and malignancy. 12 cases with CD_4 counts of less than 200/μL were treated with anti-HIV drugs, and 8 of them survived with their CD_4 counts increased after anti-HIV therapy. Conclusions The genitourinary manifestations of AIDS are various. It's important for the urologist to be familiar with these manifestations and choose the correct treatment options to improve the survival rate and the life quality of AIDS patients.
出处
《中国男科学杂志》
CAS
CSCD
2003年第5期307-310,共4页
Chinese Journal of Andrology
