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目的 加强对胰腺结核的认识 ,提高正确诊断率 ,使其得到合理治疗。方法 回顾性分析我院在 1984～ 1994年收治的胰腺结核 11例。结果 本组胰腺结核临床表现 :发热 6例、腹痛 7例、腹部包块 3例、黄疸 2例、盗汗 3例、体重下降 5例等。根据临床表现确定诊断 1例 ;经B型超声引导细针穿刺细胞学检查确定诊断 1例 ;其余 9例行开腹探查 ,由穿刺或术中病理学检查确定诊断。全部病例接受抗结核治疗。得到随访 9例 ,随访 2～ 10年 ,全部治愈无复发。结论 发热、腹痛、影像学检查胰腺有限局性病灶的病人 ,应考虑胰腺结核的诊断。进一步应行B型超声或CT引导下细针穿刺检查。抗结核治疗可以治愈胰腺结核。
Objective To strengthen the understanding of pancreatic tuberculosis and improve the correct diagnosis rate so that it can be treated reasonably. Methods Retrospective analysis of 11 cases of pancreatic tuberculosis in our hospital from 1984 to 1994. Results The clinical manifestations of pancreatic tuberculosis in this group: 6 cases of fever, abdominal pain in 7 cases, abdominal mass in 3 cases, jaundice in 2 cases, night sweats in 3 cases, weight loss in 5 cases. One case was diagnosed according to the clinical manifestations. One case was diagnosed by B-mode ultrasonography guided by fine needle aspiration cytology and the other 9 cases were examined by laparotomy or intraoperative pathological examination. All cases received anti-TB treatment. Nine cases were followed up for 2 to 10 years, all without recurrence. Conclusions Fever, abdominal pain, imaging examination of patients with pancreatic limited focal lesions should be considered in the diagnosis of pancreatic tuberculosis. Further line B ultrasound or CT guided fine needle aspiration examination. Anti-TB treatment can cure pancreatic tuberculosis.