72例结肠结核内镜及临床诊断分析  

Clinical and colonoscopic profile of 72 colonic tuberculosis patients

作　　者：严衍伟 曾玉婷 陈笑瑜 甘少光 Yan Yanwei, Zeng Yuting, Chen Xiaoyu, Can shaoguang. （Department of digestion, the first hospital of Zhaoqing City i Guangdong, China）

机构地区：肇庆市第一医院,广东肇庆526021

出　　处：《中国保健》2008年第14期570-571,共2页Chinese Health Care

摘　　要：目的：重点探讨结肠结核的内镜及临床诊断。方法：回顾分析近9年72例肠结核患者的内镜及临床病例资料。结果：肠结核临床表现以腹痛、腹泻、低热、消瘦、血便为主，内镜下主要表现为环形溃疡。60例非手术治疗痊愈，12例因完全性肠梗阻、肠穿孔、腹部肿块、急性腹膜炎、误诊为阑尾炎、结肠癌等而行手术治疗。结论：电子结肠镜加病变组织活检，并例行结核菌染色是诊断肠结核的有效手段，并例行胸片、PPD有助于诊断。大多数患者可经内科药物治愈，出现严重并发症时才手术治疗。Objective： To study the clinical and colonoscopic characteristics of patients with colonic tuberculosis. Methods：A retrospective analysis was performed for 72 patients undergoing colonoscopy and with colonic tuberculosis diagnosed in present 9 years. Conclusion： Abdominal pain, weight loss, diarrhea, low - grade fever, and hematochezia were the predominant symptoms. And colonoscopy revealed ulcers in most patiens. 60 patients completely recovered with antituberculous therapy. 12 patients were complicated by completely intestinal obstruction, colonic perforation,a lump in the abdomen and acute peritonitis. They were misdiagnosed as appendicitis, colon carcinoma and treated with operations. Conclusion： The approach to diagnose colonic tuberculosis includes electron - colonoscope, biopsy of the ulcer and surrounding tissue, acid fast bacilli. Chest radiographic features of tuberculosis and PPD are also useful tools in the search for colonic tuberculosis. Most of the patientis can be cured with medicine treatment, besides those whose presentation as severe complications can be used surgical therapy.

关 键 词：肠结核 肠镜 诊断 治疗 

分 类 号：R524[医药卫生—临床医学;医药卫生—内科学]