Hoshino M, Shibata M, Goto N, Yokochi M, Goto K, Kishikawa M, Sako T, Nakao A, Takimoto H, Ito N, Hayashi K, Miyaji M, Ito M, Takeuchi T
Gastroenterol Jpn. 1979 Aug;14(4):299-305. doi: 10.1007/BF02774225.
During the last 8 years, the diagnosis of tuberculous colitis has been made radiologically in 22 cases. Twelve were confirmed by histological or bacteriological evidences. The X-ray findings are classified into three types as follows: Type A, showing an extensive scarred area in the ileocecum and ascending colon. Type B, showing annular stricture in the ascending colon and dilatation of its oral side. Type C, showing pouchformation (pseudo-diverticulum) and deformity in the cecum. We emphasize that histological examination and culture of the biopsy specimens by endoscopy were useful for the diagnosis of tuberculous colitis. Furthermore, radiologic changes of the colon by administration of antituberculous drugs were observed.
在过去8年中,经放射学诊断为结核性结肠炎的有22例。其中12例经组织学或细菌学证据证实。X线表现分为以下三种类型:A型,回盲部和升结肠有广泛瘢痕区;B型,升结肠有环形狭窄及其近端扩张;C型,盲肠有袋状形成(假性憩室)及畸形。我们强调,通过内镜检查对活检标本进行组织学检查和培养,对结核性结肠炎的诊断很有帮助。此外,还观察到抗结核药物治疗后结肠的放射学变化。