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临床上溃疡型肠结核合并肠穿孔病例较为少见,70%的患者临床中并无肺部活动病灶[1]。加上其病变多位于回肠末端,升结肠和附近盲肠易被累及,受侵范围较为局限,且症状不易与回盲部肿瘤、阑尾周围脓肿鉴别,因此诊断较为困难。1对象与方法1.1对象回顾性分析2010年10月-2013年3月收治的39例溃疡型肠结核病合并肠穿孔患者的临床资料,男21例、女18例,年龄25-69岁。
Clinically, ulcerative intestinal tuberculosis with intestinal perforation cases are rare, 70% of patients in clinical no pulmonary activity lesions [1]. Plus more lesions in the terminal ileum, ascending colon and nearby cecal easily affected, the scope of the more limited by the invasion, and the symptoms are not easy with the ileocecal tumor, appendix abscess identification, so the diagnosis is more difficult. 1 Subjects and Methods 1.1 Subjects The clinical data of 39 patients with intestinal tuberculosis with intestinal perforation admitted from October 2010 to March 2013 were retrospectively analyzed. There were 21 males and 18 females, aged 25-69 years old.