肠结核诊断方法研究进展

Research progress on diagnostic methods for intestinal tuberculosis

  • 摘要: 肠结核(intestinal tuberculosis,ITB)是由结核分枝杆菌侵犯肠壁所引发的特异性感染,包括原发性与继发性2种类型,临床实践中以继发于肠外结核病,如空洞型肺结核等多见。近年来ITB发病率呈升高趋势,由于起病缓慢,患者早期症状不明显且缺乏特异性,以致早期诊断困难、病程迁延,因此,早期准确诊断对于ITB的控制和防治具有重要意义。目前,结核病诊断的主要实验室方法包括病原学检验、组织病理学检查、分子生物学诊断及影像学检查。本文总结了上述检查方法在ITB诊断中的应用进展,以期为广大医务工作者提供借鉴。

     

    Abstract: Intestinal tuberculosis (ITB) is a specific infection caused by Mycobacterium tuberculosis invading the intestinal wall. ITB can be categorized into primary and secondary forms, with secondary ITB often resulting from extraintestinal tuberculosis, such as cavitary tuberculosis. Over recent years, there has been an observed increase in ITB incidence. Nevertheless, the early symptoms of patients are mostly inconspicuous and lack specificity. Most progression of the disease is prolonged with slow onset. Therefore, accurate diagnosis of ITB patients is of great significance for the control and prevention of ITB. Currently, the primary laboratory methods for tuberculosis diagnosis include bacteriological examination, histopathological examination, molecular biology diagnosis and imaging techniques. This paper summarizes the progress of various diagnostic methods in ITB diagnosis, with the hope of providing a reference for a wide range of healthcare professionals.

     

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