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目的分析肠结核的诊断及治疗方法。方法回顾性分析总结大理白族自治州人民医院1999年1月～2008年12月收治的38例肠结核患者的临床资料。结果38例患者中,年龄在20～40岁者24例,占63.16%,回盲部结核占65.79%,临床表现以腹痛、腹泻为主,须结合X线检查、电子结肠镜加活检进行诊断。27例非手术治疗治愈,11例因肠梗阻、肠穿孔、腹部肿块等并发症而行手术治疗。结论肠结核好发于青壮年,诊治重点在回盲部,钡餐、钡灌肠、电子结肠镜是有效的检查方法,一般情况抗结核治疗效果良好,仅在出现并发症时才考虑手术。
Objective To analyze the diagnosis and treatment of intestinal tuberculosis. Methods The clinical data of 38 patients with intestinal tuberculosis who were admitted to Dali Bai Autonomous Prefecture People’s Hospital from January 1999 to December 2008 were analyzed retrospectively. Results Of the 38 patients, 24 were aged 20 to 40, accounting for 63.16%. Mycobacterium tuberculosis in the ileocecal region accounted for 65.79%. The main clinical manifestations were abdominal pain and diarrhea. X-rays and electronic colonoscopy combined with biopsy . Twenty-seven non-surgical treatments were cured and 11 were surgically treated for complications such as intestinal obstruction, intestinal perforation and abdominal mass. Conclusion Intestinal tuberculosis occurs in young adults. The diagnosis and treatment focuses on the ileocecal part, barium meal, barium enema and electronic colonoscopy. In general, anti-TB treatment is effective and the operation is considered only when complications occur.