胃肠道结核病:北印度一家三级医院的8年经验
Brij Sharma1, Rajesh Sharma2, Vineeta Sharma3
1Professor, Department of Gastroenterology,; Indira Gandhi Medical College and Hospital, Shimla,Himachal Pradesh, India.
The Journal of the Association of Physicians of India
|November 20, 2024
概括
胃肠结核病 (GiTb) 经常模仿其他消化系统问题,出现体重减轻和腹部疼痛. 早期诊断和使用抗结核病药物的治疗导致显著的症状改善和病变回归.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 腹结核病 (TB) 呈现非特异性症状,往往会延迟诊断.
- 胃肠结核 (GiTb) 模仿各种胃肠道疾病,造成诊断挑战.
研究的目的:
- 分析胃肠结核病的临床,内镜和组织病理特征.
- 评估GiTb患者的治疗反应和治疗结果.
主要方法:
- 一项对234名被诊断患有GiTb的患者的回顾性研究,这些患者在印度北部的一家三级护理中心 (2012-2019) 接受治疗.
- 收集的数据包括人口统计,临床表现,成像,内镜和组织病理学.
- 患者接受了抗结核治疗,随后进行内镜检查.
主要成果:
- 最常见的部位是乳房区域 (76.1%).
- 常见的症状包括体重减轻 (94.9%) 和腹部疼痛 (85.9%).
- 内镜检查发现了 (82.0%) 和 (73.9%);组织病理学证实了40.2%的颗粒瘤.
结论:
- 胃肠道结核病呈现非特异性,常见的是乳房内结核病的发生.
- 内镜和组织病理学发现对于诊断至关重要.
- 抗结核治疗是有效的,导致病变回归.
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