摘要
目的 总结肠结核的诊治经验。方法 回顾性分析华山医院１９７５ 年至１９９７ 年收治的３９ 例肠结核患者诊治情况。结果 临床表现以慢性腹痛和低热为主，分别占９２－３％ 和８４－６％ ；有排便习惯改变者占６４－１％ ；Ｘ线检查和／ 或纤维结肠镜确诊者占８１－８ ％ ；２５ 例经非手术治疗治愈，１４ 例因完全性肠梗阻、肠穿孔、腹块、肠瘘等并发症而行手术治疗。结论 凡遇慢性腹痛和低热者应排除肠结核的可能，仅在出现并发症时才考虑手术。
Objective To sum up the experience with diagnosis and treatment of intestinal tuberculosis- Methods 39 cases in our hospital from 1975 to 1997 were submitted to a retrospective study-Results The chiefcomplaints were chronic abdominalpain andlow gradefever(92-3 % and 84-6 % respectively) ,64-1% ofcases presented a habitchange ofexcreting stool.X ray and (or) colonscopy were positivein 81-8 % cases.25 cases were successfully treated by conservative therapy , while 14 accepted operation forcomplicationssuch as complete intestinal obstruction ,acute perforation ,abdominal mass and intestinal fistula- Conclusion Intestinal tuberculosis should be taken into account while a patient complainsof chronic abdominal pain and low grade fever-Operation may be done only when complications occur-
