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结肠镜检查对回盲部和结肠结核的诊断

Diagnosis of ileocecal and colonic tuberculosis by colonoscopy.

作者信息

Bhargava D K, Tandon H D, Chawla T C, Tandon B N, Kapur B M

出版信息

Gastrointest Endosc. 1985 Apr;31(2):68-70. doi: 10.1016/s0016-5107(85)71995-5.

DOI:10.1016/s0016-5107(85)71995-5
PMID:3922847
Abstract

The colonoscopic findings in 11 proven cases of ileocecal tuberculosis consisted of deformed ileocecal valve in all 11 and contracted cecal lumen in 10. This was associated with mucosal nodules predominantly around the ileocecal valve, pseudopolypoid folds, and mucosal protuberance. Two patients had an isolated cecal ulcer. In three of the 11 patients the examination enabled a histologic diagnosis to be made on the basis of typical granuloma. In the other four patients Mycobacterium tuberculosis was isolated from the tissue obtained through biopsies.

摘要

11例经证实的回盲部结核的结肠镜检查结果显示,11例患者的回盲瓣均有变形,10例患者的盲肠腔狭窄。这与主要围绕回盲瓣的黏膜结节、假息肉样皱襞及黏膜隆起有关。2例患者有孤立的盲肠溃疡。11例患者中有3例通过典型肉芽肿在检查时得以进行组织学诊断。另外4例患者经活检获得的组织中分离出结核分枝杆菌。

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