目的探讨肠结核的临床特点及合理的外科治疗。方法回顾分析2000年至2007年间共收治肠结核患者70例的诊疗情况。结果发病至确诊最长时间为25个月,最短3个月,平均5.1个月。本组70例患者中有11例在服用抗结核药物的同时采取外科手术治疗,占15.7%,10例治愈,1例因术后未能坚持正规抗结核治疗而死亡;非手术患者均行正规抗结核及支持治疗1年后治愈。结论早期诊断、及时采取正规抗结核药物治疗、严格掌握手术适应证是治愈本病的关键。 Objective To investigate the clinical features of intestinal tuberculosis and reasonable surgical treatment. Methods A retrospective analysis of the treatment of intestinal tuberculosis in 70 cases between 2000 and 2007 were collected. Results The longest onset of diagnosis was 25 months, the shortest 3 months, an average of 5.1 months. In this group of 70 patients, 11 patients took anti-tuberculosis drugs while taking surgical treatment, accounting for 15.7%, 10 patients were cured, 1 patient failed to adhere to regular anti-tuberculosis treatment and died; non-surgical patients were regular Anti-TB and supportive treatment after 1 year cure. Conclusion Early diagnosis, timely and regular anti-TB drug treatment, strict surgical indications is the key to cure this disease.