70例肠结核的临床分析

Clinical experience in diagnosis and treatment of 70 cases with intestinal TB

目的探讨肠结核的临床特点及合理的外科治疗。方法回顾分析2000年至2007年间共收治肠结核患者70例的诊疗情况。结果发病至确诊最长时间为25个月,最短3个月,平均5.1个月。本组70例患者中有11例在服用抗结核药物的同时采取外科手术治疗,占15.7%,10例治愈,1例因术后未能坚持正规抗结核治疗而死亡;非手术患者均行正规抗结核及支持治疗1年后治愈。结论早期诊断、及时采取正规抗结核药物治疗、严格掌握手术适应证是治愈本病的关键。

Objective To investigate the clinical characteristics and reasonable surgical treatment of intestinal tuberculosis. Methods Diagnosis and treatment in 70 cases with intestinal tuberculosis hospitalized from 2000 to 2007 were analyzed retrospectively. Results The longest time from the initial onset to confirmed diagnosis was 25 months and the shortest time was 3 months. The average time was 3 months. Of 70 eases, 11 cases received antituberculosis drugs and surgical treatment, in which 10 cased were cured except one case died due to without regular antituherculosis therapy. Other cases without surgical operation were cured after receiving regular antituberculosis therapy and supportive care for one year. Conclusion Early diagnosis, timely regular antituerculosis therapy and surgical operation with strict operative indication are the key to cure the disease.