Tang T, Luo B
People's Hospital of Sanshui City, Guangdong 528100.
Zhonghua Jie He He Hu Xi Za Zhi. 1998 Nov;21(11):651-3.
To study the diagnosis and treatment of tuberculous appendicitis.
12 cases (0.26%) with tuberculous appendicitis diagnosed by histopathological examination selected from 4,652 patients during 1968 to 1997 were analysed retrospectively.
The mean age of the patients with tuberculous appendicitis was 35 years, the disease occurred 2 times more frequently in women than in men and was usually secondary to tuberculosis elsewhere in the body (7 cases). There were 7 cases with proliferative lesions, 3 cases with ulcerative lesions and 2 cases with two kinds of lesions. 12 cases were all misdiagnosed preoperatively, 2 cases were diagnosed definitely in the operation. In 12 cases, 7 cases underwent simple appendectomy, 2 cases partial celectomy and 1 case right hemicolectomy, appendectomy and resection of regional lymph nodes were performed on 2 cases, treatment of anti-TB was given postoperatively to 9 patients. All the patients recovered without complications.
It's hard to get definite diagnosis of tuberculous appendicitis before operation because of low incidence and non-specific clinical manifestations, so careful observation in the operation and routine histopathological examination must be emphasized. Early operation and postoperative treatment of anti-TB should be advocated in order to prevent from complications.
研究结核性阑尾炎的诊断与治疗。
回顾性分析1968年至1997年间从4652例患者中经组织病理学检查确诊为结核性阑尾炎的12例患者（占0.26%）。
结核性阑尾炎患者的平均年龄为35岁，女性发病频率是男性的2倍，且通常继发于身体其他部位的结核病（7例）。有7例为增生性病变，3例为溃疡性病变，2例兼有两种病变。12例术前均误诊，2例在手术中明确诊断。12例中，7例行单纯阑尾切除术，2例行部分结肠切除术，1例行右半结肠切除术，2例行阑尾切除术及区域淋巴结切除术，9例术后给予抗结核治疗。所有患者均康复，无并发症发生。
由于结核性阑尾炎发病率低且临床表现不特异，术前很难明确诊断，因此必须强调术中仔细观察及常规组织病理学检查。应提倡早期手术及术后抗结核治疗，以预防并发症。
