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目的:探讨HIV感染者和艾滋病患者(HIV/AIDS)合并慢性扁桃体炎的临床特征及其疗效。方法:对收治的12例HIV/AIDS合并慢性扁桃体炎患者的临床特征、手术疗效进行回顾性调查分析。结果:12例患者中,临床表现以咽痛(12例),发热(7例),夜间睡眠打鼾(6例)为主;扁桃体以Ⅲ度肿大为主(9例)。除1例患者未行手术治疗出院外,其余11例患者均行扁桃体切除手术,手术整体满意度为(9.5±0.8)分;10例患者术后咽痛、打鼾等症状未再发作,1例患者术后咽痛发作次数明显减少,由术前12次/年下降到2次/年;1例患者术后出现新发症状,表现为咽干,发声改变。结论:HIV/AIDS合并慢性扁桃体炎患者好发于中青年男性,临床表现以咽痛、发热、夜间睡眠打鼾为主;在严格掌握手术适应证的情况下可实施扁桃体切除手术,术后疗效肯定。
Objective: To investigate the clinical features of chronic tonsillitis in HIV-infected and HIV-infected patients. Methods: The clinical features and surgical outcomes of 12 patients with HIV / AIDS complicated with chronic tonsillitis were retrospectively analyzed. Results: Of the 12 patients, sore throat (12 cases), fever (n = 7) and night sleep snoring (6 cases) were the main clinical manifestations. The tonsils were mainly Ⅲ degree enlargement (n = 9). All the 11 patients underwent tonsillectomy, except for one patient who was discharged without surgery. The overall satisfaction was (9.5 ± 0.8) points. Ten patients had postoperative sore throat, snoring and other symptoms without recurrence. One patient The number of patients with postoperative sore throat episodes decreased significantly, from 12 times a year to 2 times a year / year; 1 patient after the onset of new symptoms, the performance of the throat, voice changes. CONCLUSIONS: HIV / AIDS patients with chronic tonsillitis occur predominantly in middle-aged and young men. Their clinical manifestations are sore throat, fever and night-time snoring. Tonsillectomy can be performed under the strict indications of surgery. The postoperative curative effect is affirmed .