Gupta P J
Consulting Proctologist, Gupta Nursing Home, D/9 Laxminagar, Nagpur, India.
Afr Health Sci. 2005 Dec;5(4):345-7. doi: 10.5555/afhs.2005.5.4.345.
Tuberculosis is one of the causes of granulomatous disease within the anorectal region. The clinical features, which include symptoms and signs of anal pain or discharge, multiple or recurrent fistula in ano and inguinal lymphadinopathy, are not characteristically distinct from other anal lesions. It is also difficult to distinguish it from other granulomatous diseases involving the same area.
A Medline database was used to perform a literature search for articles relating to the term 'anal', 'tuberculosis' and 'Koch's'.
Analysis of the available literature shows that Koch's lesion in and around the anus is not uncommon. The presentation is varied in nature and tuberculosis should be suspected in lesions not responding to the conventional approaches. The treatment is two-fold: surgical for the suppuration and medical for the tuberculosis.
结核病是引起肛肠区域肉芽肿性疾病的病因之一。其临床特征包括肛门疼痛或分泌物、肛门多发或复发性肛瘘以及腹股沟淋巴结病等症状和体征，与其他肛门病变并无显著特征区别。将其与累及同一区域的其他肉芽肿性疾病区分开来也很困难。
使用Medline数据库对与“肛门”“结核病”和“科赫氏”相关的文章进行文献检索。
对现有文献的分析表明，肛门及其周围的科赫氏病变并不罕见。其表现形式多样，对于对传统治疗方法无反应的病变应怀疑为结核病。治疗包括两方面：针对化脓情况进行手术治疗，针对结核病进行药物治疗。
