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结肠直肠结核

Colorectal tuberculosis.

作者信息

Chaudhary A, Gupta N M

出版信息

Dis Colon Rectum. 1986 Nov;29(11):738-41. doi: 10.1007/BF02555322.

Abstract

Seven cases of colorectal (five of colonic and two of rectal) tuberculosis are presented. Only one of these patients had associated pulmonary tuberculosis. Radiologic signs of colorectal tuberculosis are nontypical, making the preoperative diagnosis difficult. All five patients with colonic tuberculosis presented with subacute intestinal obstruction and underwent resectional surgery followed by antitubercular chemotherapy. Both patients with rectal tuberculosis presented with rectal strictures and were treated by repeated dilatation combined with antitubercular drugs. All seven patients have been followed for two to ten years and have remained asymptomatic.

摘要

本文报告了7例结直肠结核病例(5例为结肠结核,2例为直肠结核)。这些患者中只有1例合并肺结核。结直肠结核的放射学表现不典型,术前诊断困难。5例结肠结核患者均表现为亚急性肠梗阻,接受了切除手术,随后进行抗结核化疗。2例直肠结核患者均表现为直肠狭窄,接受了反复扩张联合抗结核药物治疗。所有7例患者均已随访2至10年,目前仍无症状。

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