食管结核一例

来源 :中国防痨协会2016年全国学术大会 | 被引量 : 0次 | 上传用户:robert198121
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由于食管结核临床罕见且缺乏特征性的临床表现而导致较高的误诊率,给部分患者造成了不必要的手术,然而食管结核可经过抗结核治疗而取得良好的效果。因此临床医生要提高对食管结核的重视程度,需要与食管癌、平滑肌瘤、淋巴瘤、结节病、食管炎等多种疾病进行鉴别诊断。临床医师加强对食管结核的认识及警惕,是正确诊断食管结核的前提。及早进行PPD试验、结核分枝杆菌培养等检查,积极完善病理标本抗酸染色,综合使用结核分枝杆菌DNA-PCR、T-SPOT等现代分子生物学技术,可以提高食管结核诊断正确率。药物规律抗结核治疗是食管结核治疗的关键,即使食管病变切除术后,仍需要规律抗结核治疗。总体食管结核预后良好。
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