结节性红斑的病理学特点分析

目的 探究结节性红斑的病理学特点,以提高临床诊断效率与准确性。方法 回顾性分析子长市人民医院2018年1月至2019年12月收治的78例结节性红斑患者的组织病理切片,总结结节性红斑群体病理学特点。结果 结节性红斑发病后血管病变轻微、动脉不受累,有间隔脂膜炎出现,严重者有干酪样坏死出现;且血管壁增厚,内皮细胞增长、肿胀,血管壁上有明显的炎症细胞浸润,易因管腔变窄导致血栓形成。结论 可从内皮细胞有无增生、表皮均匀肥厚,血管壁厚度进行分析,完善诊断标准。

Analysis of pathological characteristics of erythema nodosum

Objective This article mainly explores the pathological features of erythema nodosum to improve the efficiency and accuracy of clinical diagnosis.Methods A retrospective analysis of the histopathological sections of 78 patients with erythema nodosa admitted to Zichang City People's Hospital from January 2018 to December 2019,and summarized the pathological characteristics of the erythema nodosa population.Results After the onset of nodular erythema,the vascular lesions were slight,the arteries were not involved,septal panniculitis appeared,and the cases had caseous necrosis; the blood vessel wall thickened,endothelial cells grew and swelled,and There is obvious inflammatory cell infiltration on the blood vessel wall,which is easy to cause thrombosis due to the narrowing of the lumen.Conclusion The diagnosis can be made based on the presence or absence of endothelial cell hyperplasia,uniform hypertrophy of the epidermis,and the thickness of the blood vessel wall,and improve the diagnostic criteria.