论文部分内容阅读
目的探讨脾结核的诊断和治疗措施。方法对16例脾结核患者的临床资料进行回顾性分析。结果16例病人中表现为发热、盗汗、腹胀、腹痛和脾肿大分别为11例次(68.8%)、6例次(37.5%)、8例次(50%)、10例次(62.5%)和13例次(81.2%)。腹部B超及CT检查10例有脾内占位性病变,3例脾内有钙化灶,另3例为脾弥漫性肿大。手术及病理诊断脾结核9例,3例因脾内有钙化灶诊断脾结核,另4例诊断性抗结核治疗有效而诊断脾结核。16例病人中有8例合并脾外结核。所有病人都经过半年以上的抗结核治疗,经随访预后良好。结论脾结核诊断主要依据脾病理学检查及诊断性治疗,系统性抗结核治疗及选择性手术治疗是脾结核的主要有效治疗手段。
Objective To investigate the diagnosis and treatment of splenic tuberculosis. Methods The clinical data of 16 patients with splenic tuberculosis were retrospectively analyzed. Results Sixteen patients showed fever, night sweats, bloating, abdominal pain and splenomegaly in 11 cases (68.8%), 6 cases (37.5%), 8 cases (50%) and 10 cases (62.5% ) And 13 cases (81.2%). Abdominal ultrasound and CT examination in 10 cases of spleen lesions, spleen calcification in 3 cases, the other 3 cases of diffuse splenomegaly. Spleen tuberculosis was diagnosed by operation and pathology in 9 cases. Spleen tuberculosis was diagnosed in 3 cases by calcification in the spleen and splenic tuberculosis was diagnosed by the other 4 cases of diagnostic antituberculosis treatment. Eight of the 16 patients had splenic tuberculosis. All patients after more than six months of anti-TB treatment, a good prognosis after follow-up. Conclusion The diagnosis of splenic tuberculosis is mainly based on spleen pathological examination and diagnostic treatment. Systematic antituberculous therapy and selective surgical treatment are the main effective treatments for splenic tuberculosis.