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探讨结肠镜诊断早期肠结核。方法:对结肠镜诊断的3例早期肠结核进行分析。结果:早期肠结核的结肠镜下特征是回盲部粘膜有不同程度充血、水肿、糜烂,纤维素样渗出及霜样白苔,回盲瓣红肿变形,无溃疡和结节样、息肉样增生病变,活检组织病理学显示粘膜内结核。结论:除溃疡型、增生型和混合型外,应增加炎症型。炎症型是肠结核早期病变,符合肠结核病理发展规律,是客观存在的,增加炎症型使肠结核在结肠镜下的分型更加客观、全面和合理。
Explore Colonoscopy for Diagnosis of Early Intestinal Tuberculosis. Methods: Three cases of early enteric tuberculosis diagnosed by colonoscopy were analyzed. Results: The colonoscopy of early stage intestinal tuberculosis was characterized by congestion, edema, erosion, fibrooid exudation and cream-like white moss in the ileocecal mucosa, inflamed ileocecal deformity, no ulcer and nodular, polypoid Proliferation, biopsy histopathology showed mucosal tuberculosis. Conclusion: In addition to ulcer type, proliferation and mixed type, should increase the type of inflammation. Inflammatory type is the early stage of intestinal tuberculosis, consistent with the development of intestinal tuberculosis pathology, is an objective reality, increase the type of inflammation of colon tuberculosis colonoscopy more objective, comprehensive and reasonable.