中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
23期
110-110,112
,共2页
肠结核%诊断%治疗
腸結覈%診斷%治療
장결핵%진단%치료
Intestinal tuberculosis%Diagnosis,Treatment
目的：对肠结核的诊断与治疗方法进行总结。方法：收治肠结核患者68例，对其诊断和治疗情况进行总结。结果：肠结核的主要临床表现为大便习惯改变、腹部肿块、低热和腹痛。对肠结核的诊断要结合活检、纤维结肠镜、X线检查等检查方法。68例患者中通过非手术方法治愈患者44例，其他24例患者由于出现肠瘘、腹部肿块、肠穿孔和肠梗阻等并发症，进行手术治疗，所有患者均治愈。结论：肠结核诊断的主要检查方法是纤维结肠镜、钡灌肠和钡餐，根据患者的具体情况选择治疗方式，如果患者出现并发症可以采取手术治疗。
目的：對腸結覈的診斷與治療方法進行總結。方法：收治腸結覈患者68例，對其診斷和治療情況進行總結。結果：腸結覈的主要臨床錶現為大便習慣改變、腹部腫塊、低熱和腹痛。對腸結覈的診斷要結閤活檢、纖維結腸鏡、X線檢查等檢查方法。68例患者中通過非手術方法治愈患者44例，其他24例患者由于齣現腸瘺、腹部腫塊、腸穿孔和腸梗阻等併髮癥，進行手術治療，所有患者均治愈。結論：腸結覈診斷的主要檢查方法是纖維結腸鏡、鋇灌腸和鋇餐，根據患者的具體情況選擇治療方式，如果患者齣現併髮癥可以採取手術治療。
목적：대장결핵적진단여치료방법진행총결。방법：수치장결핵환자68례，대기진단화치료정황진행총결。결과：장결핵적주요림상표현위대편습관개변、복부종괴、저열화복통。대장결핵적진단요결합활검、섬유결장경、X선검사등검사방법。68례환자중통과비수술방법치유환자44례，기타24례환자유우출현장루、복부종괴、장천공화장경조등병발증，진행수술치료，소유환자균치유。결론：장결핵진단적주요검사방법시섬유결장경、패관장화패찬，근거환자적구체정황선택치료방식，여과환자출현병발증가이채취수술치료。
Objective:To summarize the diagnosis and treatment of patients with intestinal tuberculosis.Methods:68 patients with intestinal tuberculosis were selected.We summarized the diagnosis and treatment of them.Results:The main clinical manifestations of intestinal tuberculosis changes in bowel habits,abdominal mass,fever and abdominal pain.The diagnosis of intestinal tuberculosis should combined biopsy,colonoscopy,X-ray and other inspection methods.44 cases were cured by non operation method in 68 patients,the other 24 patients took operation treatment due to intestinal fistula,abdominal mass and intestinal perforation,intestinal obstruction and other complications,all the patients were cured.Conclusion:The main method for the diagnosis of intestinal tuberculosis are colonoscopy,barium enema and barium meal,the choice of treatment according to the specific circumstances of patients,if patients with complications can be treated by operation.
