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肠结核的治疗

Treatment of the intestinal tuberculosis.

作者信息

Kita R, Kim E, Yukawa K, Hayashi M, Yukawa E

出版信息

Gastroenterol Jpn. 1977;12(5):363-7. doi: 10.1007/BF02774533.

Abstract

Twenty-seven cases of patients with intestinal tuberculosis were reported. Seventeen cases showed good response to antituberculosis chemotherapy. The numbers and size of ulceration, pseudopolyp and deformity of intestinal tract were checked by endoscopic and X-ray studies on comparative evaluation between prechemotherapeutic and postchemotherapeutic stage. In these cases, subjective symptoms were disappeared parallel with the marked improvement on X-ray and endoscopic findings. These data suggest that with current well planned antituberculosis chemotherapy program, tuberculous colitis is controlled fairly while tuberculous enteritis in controlled inadequately. Therefore, surgical procedures are commly indicated to the treatment of tuberculous enteritis.

摘要

报告了27例肠结核患者。17例对抗结核化疗反应良好。通过内镜检查和X线研究,在化疗前和化疗后阶段进行对比评估,检查肠道溃疡、假息肉的数量和大小以及肠道畸形情况。在这些病例中,主观症状消失,同时X线和内镜检查结果有明显改善。这些数据表明,按照目前精心规划的抗结核化疗方案,结核性结肠炎得到了较好的控制,而结核性小肠炎的控制并不充分。因此,手术治疗常用于结核性小肠炎的治疗。

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