胃及十二指肠结核比较少见。胃结核可分为四种临床类型:局限型、溃疡型、弥漫型、结核与癌共存型,根据不同类型可选择不同手术方法。十二指肠结核无并发症时,原则上应内科抗结核治疗,若并发十二指肠梗阻、内瘘、内出血,应采用手术治疗。根据病变部位、病情,分别采用不同术式。无论胃或十二指肠结核术后均应常规应用抗结核药物治疗6~12个月。本病预后良好。 Stomach and duodenal tuberculosis is relatively rare. Gastric tuberculosis can be divided into four clinical types: limited type, ulcerative type, diffuse type, tuberculosis and cancer coexistence type, according to different types can choose different surgical methods. No complications of duodenal tuberculosis, in principle, should be medical anti-TB treatment, if complicated by duodenal obstruction, fistula, internal bleeding, surgery should be used. According to the lesion, the condition, respectively, using different surgical procedures. Whether gastric or duodenal tuberculosis postoperative should be routinely treated with anti-TB drugs for 6 to 12 months. The disease prognosis is good.