摘要
孤立性结肠结核的发生率很低,常被误诊为结肠恶性肿瘤或其他感染性疾病.我院共收治7例孤立性结肠结核的患者.我们认为尽管术前无特异的诊断方法,但通过多部位、多块的组织学和细菌学检查,可能有助于诊断.在无明显梗阻、穿孔和出血等并发症时,可先行抗痨治疗,观其疗效,再决定是否手术治疗.
Isolated colonic tuberculosis is defined as a tuberculosis which exists in the colon except for ileoeaecum,without focus in any other organ.It is very rare and usually may be misdiag- nosed as colonic malignent tumor or other infectious diseases.Seven patients of isolated colonic tuberculosis were treated at our hospital.Although there are no specific diagnostic motheds for it,we suggest that it is helpful to find isolated colonic tuberculosis by means of multipieces of histological and bacterical examination.The first choice of treatment is anti-tu- berculosis therapy,but the complications such as bleeding,perforation and obstruction may need surgery.
关键词
结肠
肠结核
诊断
colon
tuberculosis
diagnosis
