编者精选:腹部结核的诊断和治疗的最新进展

H. Mandavdhare, Harjeet Singh, Vishal Sharma
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引用次数: 15

摘要

腹部结核及其多变的表现仍然是临床医生的诊断挑战,并且仍然是发展中国家的一个重要问题。克罗恩病在肠结核流行的国家得到越来越多的认识,需要加以区分,因为这两种疾病在临床表现、放射学、内窥镜检查和组织学表现上都很相似。新的诊断方式和评分系统促进了克罗恩病与肠结核的鉴别,准确度很高。随机试验显示,6个月的治疗与更长时间的治疗对腹部结核患者的疗效相当。本文就近年来腹部结核的诊断和治疗进展作一综述。
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Editor’s Pick: Recent Advances in the Diagnosis and Management of Abdominal Tuberculosis
Abdominal tuberculosis and its protean manifestations still create a diagnostic challenge for clinicians and remain an important concern in the developing world. Crohn’s disease, which is being increasingly recognised in countries where intestinal tuberculosis is prevalent, needs to be differentiated as the two diseases resemble each other in their clinical presentation, and in their radiological, endoscopic, and histological findings. New diagnostic modalities and scoring systems have facilitated the differentiation of Crohn’s disease from intestinal tuberculosis with good accuracy. Randomised trials have shown 6 months of therapy to be equivalent to longer durations of treatment for patients with abdominal tuberculosis. This review focusses on the recent advances in diagnosis and management of abdominal tuberculosis.
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