腹腔结核48例临床分析

A Clinical Analysis of 48 Cases of Abdominal Tuberculosis

目的:探讨腹腔结核的误诊原因、早期诊断及手术治疗。方法:回顾分析外科治疗的48例腹腔结核临床资料。结果:男女各24例,手术治疗34例:10例治愈,22例好转,2例死亡。14例保守治疗者,经1～2年抗涝治疗,症状消失。结论:腹腔结核因无特异性症状、体征,临床容易误诊。严格掌握手术指征,术后及非手术治疗者应坚持正规抗涝治疗。

Objective：To evaluate a case of misdiagnosis,early diagnosis and operative intervention for abdominal tuberculosis（AT）.Methods：The clinical material of AT in 48 cases treated by surgical department in the last ten years were retrospectively analyzed.Results：Both males and female patients were both 24 cases.34 patients underwent surgical treatment,with 10 were cured,22 improved and 2 died.14 patients underwent antituberculotic treatment for 1 to 2 years until the symptoms completely disappeared.Conclusions：AT of nonspecial symptoms and signs is often diagnosed mistabenly in the clinical.It is important to improve the level of understanding and make overall checkup.The role of surgery in treatment of tuberculosis has diminished dramatically since chemotherapy became available.Postoperative and nonoperative patients should be regularly treated with the chemotherapeutic regimens.