摘要
探讨结肠镜诊断早期肠结核。方法：对结肠镜诊断的３例早期肠结核进行分析。结果：早期肠结核的结肠镜下特征是回盲部粘膜有不同程度充血、水肿、糜烂，纤维素样渗出及霜样白苔，回盲瓣红肿变形，无溃疡和结节样、息肉样增生病变，活检组织病理学显示粘膜内结核。结论：除溃疡型、增生型和混合型外，应增加炎症型。炎症型是肠结核早期病变，符合肠结核病理发展规律，是客观存在的，增加炎症型使肠结核在结肠镜下的分型更加客观、全面和合理。
The colonoscopic results of three early intestinal tuberculosis patients were analysed. The primary colonoscopic features of early intestinal tuberculosis were hyperemia and edema of the ileocecal mucosa, and the intervening mucosa appeared friable and erosive. The intervening mucosa was covered by a fibrinopurulent exudate or a frosty white mucus. The ileocecal valve was edematous and deformed. Colonscopy revealed neither ulceration nor nodular and polypous hypertrophy. Biopsy specimens showed intramucosal tuberculosis. The inflammatory type should be considered in addition to the ulcerative type,hypertrophic type,and mixed type. The inflammatory type is an early tuberculous lesion and conforms with the pathological regressive rule of intestinal tuberculosis. Adding the inflammatory type makes colonoscopic typing of intestinal tuberculosis more objective and reasonable.
出处
《中国内镜杂志》
CSCD
1998年第1期1-2,共2页
China Journal of Endoscopy
关键词
早期
肠结核
结肠镜
诊断
Early intestinal tuberculosis
Colonoscopic diagnosis
Inflammatory type
