頁籤選單縮合
題 名 | Anal Tuberculosis--A Series of Nine Cases=肛門結核--九個病例分析 |
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作 者 | 王煥昇; 陳維熊; 林楨國; 李芬瑤; 林資琛; 姜正愷; 楊純豪; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 9:1 1998.03[民87.03] |
頁 次 | 頁8-11 |
分類號 | 416.245 |
關鍵詞 | 肛門結核; Anal tuberculosis; Ulceration; Fistula; |
語 文 | 英文(English) |
中文摘要 | 引言結核病侵犯肛門的情況非常少。本文目地在提醒外科醫生提高警覺,增加對此疾病的了解。 方法從1965到1995年間,由臺北榮民總醫院出院的肛門結核病人,以回朔性方法分析其臨床特徵、組織學和細菌學檢驗。 結果共有9位男性,中間年齡62歲。二位以肛門內潰瘍表現,另七位以肛門�硎猼穛{。肛門分泌物和肛門疼痛是所有病人的症狀。有八位病人的手術標本病理切片可見乾酪狀壞死、Langhans' 巨大細胞和類上皮細胞浸潤。一位病人的肛門分泌物的結核抹片和結菌培養可以找到結核菌。九位病人中有六位病人合併有活動性的肺結核。 總結肛門結核很少能在手術前診斷出來。對反覆復發的肛門病灶合併肺結核的病人應該要提高警覺。取得手術標本病理切片是非常重要的,而且是確定診斷的最佳辦法。 |
英文摘要 | Introduction: Tuberculous involvement of the anus is anextreme rarity. The aim of this review is to alert surgeons to maintain a highlevel of suspicion and great familiarity with this disease. Methods: Retrospective analysis was conducted emphasizing on the clinical features and histological and bacteriological examinations of all patients with the diagnosis of anal tuberculosis who had been discharged from the Veterans General Hospital in Taipei from 1965 through 1995. Results: The study included nine men with a median age of 62 years. Two patients presented with ulceration in the anal canal and the other seven patients with anal fistulas. Anal discharge and perianal pain were present in all patients. On histopathological examination of the resected specimens, caseous necrosis, Langhans' giant cells, and epithelioid cell infiltration were found in eight patients. A TB smear and culture of the fistular discharge showed acid-fast bacilli in one patient. Investigations verified active pulmonary tuberculosis in six of the nine patients by sputum smears or cultures. Conclusions: Anal tuberculosis is seldom diagnosed preoperatively. Recurrence of an anal lesion and the presence of concomitant pulmonary tuberculosi should arouse suspicion. Histopathological examination of the excised sepcimen is mandatory, as it is the best procedure for confirming the diagnosis. |
本系統中英文摘要資訊取自各篇刊載內容。