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结核性结肠炎的临床研究。

A clinical study of tuberculous colitis.

作者信息

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

出版信息

Gastroenterol Jpn. 1979 Aug;14(4):299-305. doi: 10.1007/BF02774225.

DOI:10.1007/BF02774225
PMID:488621
Abstract

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.

摘要

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。

相似文献

1
A clinical study of tuberculous colitis.结核性结肠炎的临床研究。
Gastroenterol Jpn. 1979 Aug;14(4):299-305. doi: 10.1007/BF02774225.
2
[Radiological examination of cases of tuberculosis of the ileocecal region].[回盲部结核病例的放射学检查]
Pol Przegl Radiol Med Nukl. 1970 Sep-Oct;34(5):695-700.
3
Case report: tuberculous colitis mimicking Crohn's disease.
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Roentgen Examination of Ileocaecal Tuberculosis with Special Reference to the so-called Stierlin-Sign.回盲部结核的X线检查,特别提及所谓的施蒂尔林氏征
Acta Radiol. 2016 Apr;57(4):e34-41. doi: 10.1177/0284185116630476.
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Ileocecal tuberculosis. Case history.回盲部结核。病例报告。
N Y State J Med. 1973 Feb 15;73(4):564-8.
6
Tuberculous colitis: radiologic-colonoscopic correlation.结核性结肠炎:放射学与结肠镜检查的相关性
AJR Am J Roentgenol. 2000 Jul;175(1):121-8. doi: 10.2214/ajr.175.1.1750121.
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Tuberculous colitis simulating nonspecific granulomatous disease of the colon.模拟结肠非特异性肉芽肿病的结核性结肠炎。
Am J Dig Dis. 1970 Jan;15(1):85-92. doi: 10.1007/BF02239351.
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Tuberculous ileo-colitis in Ibadan: a clinicoradiological review.伊巴丹的结核性回肠结肠炎:临床放射学综述
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[Radiological aspects of ileocecal tuberculosis. Apropos of 31 cases].
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Tuberculous colitis mimicking Crohn's disease: utility of computed tomography in the differentiation.酷似克罗恩病的结核性结肠炎:计算机断层扫描在鉴别诊断中的作用
Eur Radiol. 1998;8(7):1221-3. doi: 10.1007/s003300050539.

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Isolated colonic tuberculous perforation as a rare cause of peritonitis: report of a case.孤立性结肠结核穿孔作为腹膜炎的罕见病因:一例报告
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Intestinal tuberculosis: findings on double-contrast barium enema.肠结核:双重对比钡灌肠检查结果

本文引用的文献

1
So-called primary ulcerohypertrophic ileocecal tuberculosis.所谓原发性溃疡肥厚性回盲部结核。
Am J Med. 1959 Sep;27:509-18. doi: 10.1016/0002-9343(59)90016-6.
2
Pathology of intestinal tuberculosis and its distinction from Crohn's disease.肠结核的病理学及其与克罗恩病的鉴别
Gut. 1972 Apr;13(4):260-9. doi: 10.1136/gut.13.4.260.
Gastrointest Radiol. 1992 Spring;17(2):108-14. doi: 10.1007/BF01888522.