表现为腹部肿块的大肠结核诊断和鉴别诊断  

The diagnosis of intestinal tuberculosis with abdominal masses

作　　者：刘勇[1] 李德川[1] 楼荣灿[1] 

机构地区：[1]浙江省肿瘤医院大肠科,杭州310022

出　　处：《腹部外科》2002年第3期150-151,共2页Journal of Abdominal Surgery

摘　　要：目的　探讨以腹块为临床表现的大肠结核的诊断和鉴别诊断。方法　报告 1987～2 0 0 0年收治的以腹部肿块为临床表现的大肠结核 15例 ,并结合文献进行回顾性分析。结果　 15例肠结核均以腹块为主诉就诊 ,其中 9例行纤维结肠镜检查 ,3例行钡灌肠。仅 3例诊断为肠结核 ,其余 12例经手术活检确诊 ;所有病例均经抗结核治疗 ,1例复发。结论　纤维结肠镜下活检和手术活检是肠结核确诊的重要手段 ,利用多聚酶链反应 (PCR)技术检测活检组织中的结核杆菌 ,以及手术时常规行肠系膜淋巴结活检 。Objective To investigate the diagnosis of intestinal tuberculosis with abdominal masses. Methods 15 cases of intestinal tuberculosis with abdominal masses in our hospital from 1987 to 2000 were reported and retrospectively analyzed. Results The chief complaints of 15 cases were abdominal masses. Nine cases underwent fibrocolonoscopy and 3 cases barium enema. Only 3 cases were diagnosed as having intestinal tuberculosis and the remaining 12 cases were diagnosed post operation. All the cases were treated with antituberculosis drugs, recurrence occurred in one cases. Conclusions The biopsy under fibrocolonoscopy and by operation is the important means for diagnosis of intestinal tuberculosis. The detection of the DNA of tubercle bacillus in the biopsied tissues by PCR technique and routine biopsy of the tuberculous mesenteric lymph nodes during operation are helpful to the diagnosis of intestinal tuberculosis.

关 键 词：腹部肿块 大肠结核 诊断 鉴别诊断 

分 类 号：R524[医药卫生—内科学]