34例肠结核临床及病理学分析

Analysis of 34 cases of intestinal tuberculosis clinical and pathology

目的观察肠结核病的临床及病理学特征。方法回顾性对3 4例经病理组织学确诊的肠结核进行临床及病理学分析。结果该病多见于回盲部,临床表现为腹痛、腹胀2 2例;腹泻1 2例,其中分别合并发热1 2例、便血6例、腹腔积液8例、肠梗阻6例、穿孔2例。病理组织学可见肠粘膜呈慢性炎症,并见由数量不等的上皮样细胞呈放射状排列组成的肉芽肿结构,其内含有多核巨细胞,并常伴有干酪样坏死。抗酸染色阳性率4 4.1%(1 5/3 4)。结论肠结核临床表现缺乏特异性,易漏诊、误诊、贻误治疗。病理组织学及抗酸染色阳性为该病主要诊断依据。

Objective Clinical and pathological characteristics of intestinal tuberculosis. Methods A retro- spective clinical and pathology of intestinal tuberculosis in 34 cases confirmed by histopathology analysis. Results The disease is more common in ileoeeeal, clinical manifestations were abdominal pain, abdominal distension in 22 cases; 12 cases of diarrhea, which were combined with 12 cases of fever, 6 cases, 8 cases of blood in the stool, abdominal effusion in 6 cases, intestinal obstruction and perforation in 2 cases. Histopathological visible intestinal mucosa chronic inflammation, and by varying amounts of epithelioid cells arranged radially granuloma structure composition, it contains muhinueleated giant cells and caseous necrosis, often accompanied by.Acid-fast staining positive rate was 44.1% （15/34）. Conclusion Clinical manifestations of tuberculosis of the intestines are lack of specificity, easily missed diagnosis, misdiagnosis, delay treatment.Histopathologieal and acid-fast stain positive for the disease diagnosis.