62例肠结核的临床分析

目的探讨肠结核的诊治经验。方法回顾分析近5年来62例肠结核患者的临床病例资料。结果肠结核临床表现以腹痛、腹泻、低热、消瘦为主。46例非手术治疗全愈,16例因完全性肠梗阻、肠穿孔、腹部肿块、急性腹膜炎等并发症而行手术治疗。结论胸片、钡灌肠、电子结肠镜加病变组织活检是诊断肠结核的有效手段,绝大多数患者可经内科药物治愈,出现严重并发症时才手术治疗。

Clinical Analysis on 34 Cases of Intestinal Tuberculosis

Objective To summarize the experience in the diagnosis and treatment of intestinal tuberculosis. Methods Retrospective analyse clinical interrelated information of 62 cases intestinal tuberculosis within past 5 years. Results The chief complaints of the intestinal tuberculosis patients were chronic abdominal pain and diarrhea , and low fever , and emaciation . 46 cases were successfully treated by conservative therapy , 16 cases accepted operative therapy for the complications such as complete intestinal obstraction , acute intestinal perforation ,abdominal mass ,and acute peritonitis et al . Conclusion The X-ray film , barium enema , colonoscopy and pathology are effective examination methods in the diagnosis of intestinal tuberculosis, operation may be done when the complications oceur.