目的探讨无症状肠结核的结肠镜检诊断。方法回顾性分析本院1997年1月至2004年12月结肠镜检查诊断的无症状肠结核14例资料。结果结肠镜下表现:病变部位:11例位于回盲部或回肠末端,3例位于结肠;分型:炎症型3例,溃疡型4例,增殖型2例,混合型5例。病检:9例活检病理诊断肠结核,1次阳性5例,2次或以上阳性4例。结论结肠镜检重点观察肠结核好发部位及病变特征,结合活检是诊断无症状肠结核的重要手段。 Objective To investigate colonoscopy of asymptomatic intestinal tuberculosis. Methods A retrospective analysis of 14 cases of asymptomatic intestinal tuberculosis diagnosed by colonoscopy in our hospital from January 1997 to December 2004 was retrospectively analyzed. Results The results of colonoscopy were as follows: Lesions: 11 cases were located in the ileocecal region or terminal ileum, 3 cases were located in the colon. Type: 3 cases were inflammation type, 4 cases were ulcer type, 2 cases were proliferative type and 5 cases were mixed type. Disease examination: 9 cases of biopsy diagnosis of intestinal tuberculosis, a positive in 5 cases, 2 or more positive in 4 cases. Conclusions Colonoscopy focuses on the detection of predilection sites and pathological features of intestinal tuberculosis. Combined biopsy is an important method to diagnose asymptomatic intestinal tuberculosis.