摘要
目的进一步深入对胰腺结核的认识,提高对临床胰腺结核诊断率及治愈率。方法回顾性分析我院截止2004年10月收治的胰腺结核13例。结果本组有结核病史2例,临床表现:发热6例、腹痛13例、腹部包块4例、黄疸3例、盗汗4例、体重减轻7例、脾大和脾亢1例等。根据临床表现及淋巴结活检诊断2例;剖腹探查12例,经病理学检查确定诊断11例,1例术后合并肺结核经抗结核治疗证实胰腺结核诊断。全部病例经抗结核治疗治愈,1例未手术患者结核控制2年后出现区域性门脉高压、食管下段静脉曲张。结论腹痛、发热、体重减轻及影像学证实胰腺局限性、节段性病变病例,应考虑胰腺结核的可能。抗结核治疗是治愈胰腺结核的主要手段,外科手术对胰腺结核特别是胰腺结核性脓肿治疗具有重要意义。
Objective To emphasize and improve the diagnosis and treatment of pancreatic tuberculosis. Methods Retrospectively review 13 cases of pancreatic tuberculosis before october 2004. Results All cases presented a wide series of symptoms, includeing fever in 6, upper abdominal tenderness in 13, epigastrium mass in 4, obstructive jaundice in 3, night sweat in 4, weight loss in 7, hypersplenotrophy and hypersplenism in 1, and being associated with other organs tuberculosis in 3. 2 cases were diagnosized by clinical symptoms and biopsy of lymphaden, others by introperative biopsy and antitubercular treatment. All patients received antituber- cular agents. A case without operative treatment presented extrahepatic portal hypertension. Conclusions Pancreatic tuberculosis might be considered in the patients with fever, abdominal tenderness, weight loss and imaging evidence of regional pancreatic lesion. Efficacy of anfitubercular agents for pancreatic tuberculosis is evident.
出处
《肝胆外科杂志》
2006年第6期430-431,453,共3页
Journal of Hepatobiliary Surgery
关键词
胰腺结核
手术
抗结核药物
pancreatic tuberculosis
operation
antitubercular agents
