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目的 总结肠结核的诊治经验。方法 回顾性分析华山医院１９７５ 年至１９９７ 年收治的３９ 例肠结核患者诊治情况。结果 临床表现以慢性腹痛和低热为主，分别占９２－３％ 和８４－６％ ；有排便习惯改变者占６４－１％ ；Ｘ线检查和／ 或纤维结肠镜确诊者占８１－８ ％ ；２５ 例经非手术治疗治愈，１４ 例因完全性肠梗阻、肠穿孔、腹块、肠瘘等并发症而行手术治疗。结论 凡遇慢性腹痛和低热者应排除肠结核的可能，仅在出现并发症时才考虑手术。
Objective To summarize the experience of diagnosis and treatment of intestinal tuberculosis. Methods The diagnosis and treatment of 39 patients with intestinal tuberculosis admitted to Huashan Hospital from 1975 to 1997 were retrospectively analyzed. Results The clinical manifestations were mainly chronic abdominal pain and fever, accounting for 92-3% and 84-6%, 64-1% with changes in bowel habits, 81-8% for X-ray and / or colonoscopy, ; 25 cases were cured by non-surgical treatment, 14 cases were treated surgically due to complications of intestinal obstruction, intestinal perforation, abdominal block and intestinal fistula. Conclusion All cases of chronic abdominal pain and hypothyroidism should rule out the possibility of intestinal tuberculosis, only consider complications in the event of surgery.