早期肠结核的病理变化

目的探讨早期肠结核的病理变化。方法对结肠镜诊断的３例早期肠结核进行分析。结果早期肠结核的病理特征是：回盲部粘膜充血、水肿或（和）糜烂；纤维素样渗出及霜样白苔，回盲瓣红肿变形；无溃疡和息肉样增生；光镜下见粘膜层内结核结节，无溃疡和肉芽、纤维组织增生。结论认识早期肠结核的病理变化，对促进早期肠结核的诊断和完善肠结核的病理分型具有重要意义

Pathological changes of early intestinal tuberculosis

Objective To probe into the characteristics of pathological changes of early intestinal tuberculosis. Method Three cases of early intestinal tuberculosis proved by colonoscopy were reported and analyzed. Result Hyperemia and edema of the ileocecal mucosa were found. The involved mucosa looked friable and eroded, which was covered by fibrinopurulent exudates or forsty white mucus. The ileocecal valve was edematous and deformed. Tuberculous tubercles were found in intramucosal tissue under microscopy. Neither ulceration nor fiberous hypertrophy was found. Conclusion It shows important significance to recognize the pathological manifestations of early intestinal tuberculosis for diagnosis of the disease.