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目的 探讨胆道系统结核的诊断和治疗方法。方法 回顾本院 1例患者结合分析国内报道的其它 4例胆道系统结核患者的临床资料。结果 胆道系统结核可发生于胆道的任何部位 ,常导致阻黄症状的出现 ,全部病例均行手术治疗后继续抗痨治疗。结论 胆道系统结核以继发于其它部位结核的可能性大 ,临床表现主要以胆道症状为主 ,而结核症状常被忽视。术前、术中常误诊为胆道恶性肿瘤。术中以建立新的有效的胆汁排出通道为主 ,术后有效的抗痨治疗为本病治疗的关键环节
Objective To investigate the diagnosis and treatment of biliary tract tuberculosis. Methods The clinical data of one patient in our hospital combined with other 4 cases of biliary tract tuberculosis reported in China were retrospectively analyzed. Results Biliary tract tuberculosis can occur in any part of the biliary tract, often leading to the appearance of yellowing symptoms. All patients underwent anti-tuberculosis treatment after surgery. Conclusion The biliary tract tuberculosis is likely to be secondary to tuberculosis in other sites. The clinical manifestations are mainly biliary symptoms, while the symptoms of tuberculosis are often neglected. Preoperative and intraoperative misdiagnosis of biliary malignancies. Intraoperative to establish a new effective biliary discharge channel based, postoperative effective anti-tuberculosis treatment-based treatment of key links