由于有效而规律的抗结核治疗,续发性腹壁结核极为少见,现将已发现的三例报告如下: 病例1 女社员住院号53662。腹壁包块半月余,四年前患肺结核间断口服INH一年。查体:右上腹脐旁腹直肌处可触及波动性肿物,约5.0×6.0×4.5cm大小,局部皮肤微红,略有压痛,边界不清,以“腹壁脓肿”切开引流,术中发现脓肿位于腹直肌内有干酪坏死组织,涂片查见抗酸杆菌,当日再次局麻下施结核病灶清除术,结核灶侵及腹直肌前鞘深达腹直肌后鞘,彻底清除干酪坏死组织,局部放置链霉素粉 As a result of effective and regular anti-TB treatment, there are very few cases of persistent abdominal wall TB. The three reported findings are as follows: Case 1 female member hospital number 53662. Abdominal wall mass more than half a month, four years ago suffering from intermittent pulmonary tuberculosis INH one year. Physical examination: the right upper quadrant umbilical rectus abdominis can reach the fluctuation of the tumor, about 5.0 × 6.0 × 4.5cm size, reddish local skin, slight tenderness, the border is unclear, with “abdominal abscess” incision and drainage, surgery Abscess found in the rectus abdominis cheese necrosis tissue smear see acid bacilli, the same day under local anesthesia tuberculosis removal surgery, tuberculosis lesions and rectus abdominis rectus sheath deep rectus sheath, thorough Remove cheese necrosis tissue, place streptomycin powder