肠结核的临床诊疗分析

目的：探讨肠结核的临床诊断及合理的治疗,以减少肠结核的误诊、误治。方法：回顾分析2007年1月～2010年3月本院收治的48例肠结核患者的治疗情况。结果：肠结核患者多以腹痛、腹胀、腹部包块为主要临床表现。48例患者中手术治疗17例占35.4%。31例患者经强化抗结核及补液,对症支持治疗后治愈。结论：肠结核经结肠镜检及结核菌抗酸染色可以明确诊断。大部分患者经药物治疗可治愈,对于出现合并症的患者应及时手术。

Clinical analysis of 48 cases of intestinal tuberculosis

Objective： To investigate the diagnosis and treatment of intestinal tuberculosis so as to reduce the clinical mis- diagnosis and mistherapy of the diasease. Methods： Reviewed from January 2007 to March 2010 records of the 48 patients treated for patients with tuberculosis. Results： The main clinical manifcstations of intestinal tuberculosis were abdominal pain, 48 cases were treated with surgical treatment of 17 cases accounted for 35.4%. 31 patients through enhancing to fight consumptive disease and rehydration, suit the treatment cured after support. Conclusion： The combinated methods of colonoscopy, biopsy and special staining for mycobacterium tuberculosis are the most effective for the diagnosis of intestinal tuberculosis. Most patients can be cured with drug treatment, it should be timely surgery for the complicating disease.