肺结核合并结核性肛周脓肿38例临床分析  

Clinical analysis of tuberculosis with tuberculous perianal abscess in 38 cases

作　　者：张璐 宋晓东 孟禅 张娜 

机构地区：[1]大连市结核病院5病房,辽宁大连116000

出　　处：《当代医学》2017年第2期103-104,共2页Contemporary Medicine

摘　　要：目的探讨肺结核合并结核性肛周脓肿的临床特点,提高诊断率和临床疗效。方法选取38例肺结核合并结核性肛周脓肿患者资料进行分析,选择同期入院治疗的38例单一肺结核患者作为对照组,采用本院自拟问卷调查表了解患者一般情况,对患者进行相关实验室检查,比较两组临床资料。结果实验组患者发病后的临床表现显著多于对照组(P<0.05);实验组患者中33例PPD>10 mm,28例结核抗体阳性,20例痰菌阳性,14例T淋巴细胞计数减少,显著高于对照组的22例PPD>10 mm,19例结核抗体阳性,12例痰菌阳性,8例T淋巴细胞计数减少,两组比较差异具有统计学意义(P<0.05)。结论肺结核合并结核性肛周脓肿患者应该加强胸部X线检查,并做好脓液及其分泌物培养,提高临床诊断率,为患者后续治疗提供依据。Objective To investigate the clinical characteristics of tuberculous perianal abscess complicated with pulmonary tuberculosis and improve the diagnostic rate and clinical curative effect. Methods 38 patients with pulmonary tuberculosis complicated with tuberculous perianal ab- scess were analyzed. 38 patients with single tuberculosis were selected as the control group. The general condition of the patients was analyzed by us- ing self-designed questionnaires, and related laboratory tests were carried out. , Compared the two groups of clinical data. Results The clinical manifestations of the experimental group were significantly higher than that of the control group （P 〈0.05）. In the experimental group, PPD〉 10 mm, 28 TB antibody positive, 20 sputum positive and 14 T lymphocyte count decreased（P 〈0.05）. There was significant difference between the two groups （P 〈0.05）. There were significant differences between the two groups （P〈0.05）. Conclusion The chest X - ray examination should be strengthened in tuberculosis patients with tuberculous perianal abscess, and the culture of pus and secretions should be well done to improve the clini- cal diagnosis rate and provide the basis for follow - up treatment of patients.

关 键 词：肺结核合并结核性肛周脓肿 临床特点 诊断率 

分 类 号：R52[医药卫生—内科学]