腹部结核的外科治疗  

Surgical Treatment of Abdominal Tuberculosis

作　　者：李林虎[1] 李成日[1] 姜惟龙[1] 

机构地区：[1]延边医学院附属医院普通外科

出　　处：《延边医学院学报》1990年第3期200-202,共3页Journal of Medical Science Yanbian University

摘　　要：1975年～1988年间手术治疗腹部结核病77例,手术例数比过去大有减少,多见于年青女性,结核病灶包括结核性腹膜炎,胃、胰腺、肠系膜淋巴结、肠管、阑尾、腹壁结核.手术指征有肠梗阻、胃出血、肠内瘘、局限性脓肿、腹部肿块.治疗以手术切除主要病灶配用抗结核药物治疗,手术死亡率为6.5％.From 1975 to 1988, surgical treatment of abdominal tuberculosis was done in 77 cases. Operative cases are greatly decreased than the past. Most cases in this group were younger female. The focus of tuberculosis included tuberculous peritonitis, gastric tuberculosis, pancreatic tuberculosis. tuberculosis of mesentric lymph nodes, intestinal tuberculosis, tuberculosis of appendix,and tuberculosis of abdominal wall. Operative areindications intestinal obstruction, entreostenosis,secondary suppurative peritonitis, intestinal perforation, hemorrhage of gastrointestinal tract, intraintestinal fistula, localized abscess and abdominal mass. The treatment included both operative resecting principal focus and antituberculous drugs. Operative mortality was 6. 5% in these cases.

关 键 词：腹肠部结核 手术 结核性腹膜炎 

分 类 号：R656[医药卫生—外科学]