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目的:通过报道1例胰腺结核误诊案例,总结胰腺结核的临床特点,以提高对胰腺结核的认识和诊断水平。方法:分析1例胰腺结核误诊患者的临床资料,剖析误诊原因。结果:胰腺结核较为罕见,易被误诊为胰腺占位性病变,可以经内镜B超、CT引导下穿刺或剖腹探查术行病理学检查以明确诊断。结论:胰腺结核是一种罕见疾病,对老年胰腺占位患者要时刻警惕胰腺结核的可能,必要时行B超引导下包块穿刺活检以排除诊断。
Objective: To report a case of misdiagnosis of pancreatic tuberculosis and summarize the clinical features of pancreatic tuberculosis in order to improve the understanding and diagnosis of pancreatic tuberculosis. Methods: The clinical data of 1 patient with misdiagnosis of pancreatic tuberculosis were analyzed and the causes of misdiagnosis were analyzed. Results: Pancreatic tuberculosis was rare and easily misdiagnosed as pancreatic space-occupying lesions. It can be diagnosed by pathological examination by endoscopic B-ultrasound, CT-guided puncture or laparotomy. Conclusions: Pancreatic tuberculosis is a rare disease. It is necessary to guard against pancreas tuberculosis in elderly patients with pancreatic cancer. If necessary, B-guided biopsy should be performed to exclude the diagnosis.