论文部分内容阅读
作者报告30例肠结核的诊治体会。诊断依据是术中见肠道及肠系成有典型干酪样改变,并经内镜活检及手术切除标本病理证实。术前胸片16例有肺结核表现,24例钡剂检查有异常但非特异性,20例结肠镜所见亦非特异性。行小肠部分切除3例,右半结肠切除20例,结肠次全切除3例,直肠前切除1例,空肠部分加右半结肠切除2例,回肠部分加右半结肠加直肠前切除1例。认为肠结核亦可呈节段性并出现粘膜桥,应与Crohn病鉴别;一期切除吻合加术后三联抗痨是安全的。
The authors report 30 cases of intestinal tuberculosis diagnosis and treatment experience. The diagnosis is based on intraoperative see gut and enteric into a typical caseous change, and endoscopic biopsy and surgical specimens confirmed by pathology. Preoperative chest radiographs showed pulmonary tuberculosis in 16 cases, abnormalities but nonspecific examination in 24 cases of barium, and nonspecific findings in 20 cases of colonoscopy. Three cases of small intestine resection, 20 cases of right colon resection, 3 cases of subtotal colon resection, 1 case of anterior resection, 2 cases of jejunal resection and 2 cases of right colon resection, 1 case of ileum plus right colon and anterior resection. That intestinal tuberculosis can also be segmental and the mucosal bridge should be identified with Crohn disease; a resection and anastomosis plus triple anti-tuberculosis is safe.