Does intestinal tuberculosis have a definite diagnosis?

summary

The occurrence of intestinal tuberculosis, for patients, this is a more serious disease, many patients because of careless treatment link, which makes the disease worse, for intestinal tuberculosis, patients can hang digestive department to treat, let's talk about the digestive department tuberculosis need to do what examination.

Does intestinal tuberculosis have a definite diagnosis?

First: Colonoscopy: the lesions were mostly seen in ileocecal region. Under endoscopy, the lesion mucosa was hyperemia and edema. The ulcers were annular, with irregular edges and a rat bite. There were inflammatory reactions around, thickening of intestinal wall, inflammatory polyps of different sizes and shapes, annular stenosis of intestinal canal, and deformation of ileocecal valve. If caseous necrotizing granuloma or acid fast bacilli can be found in biopsy, it is of diagnostic significance. 　

Second, laparoscopy can be considered for the cases without extensive adhesion in the abdominal cavity, but the diagnosis is very difficult. There may be small gray nodules on the serosal surface of the diseased intestinal segment, and the biopsy has typical tuberculosis changes. Polymerase chain reaction polymerase chain reaction is also known as in vitro DNA amplification technology. PCR technology opens up a new way for rapid, sensitive and specific diagnosis of tuberculosis etiology at the gene level. 　

Third: the main X-ray manifestations of ulcerative intestinal tuberculosis are: the diseased intestinal segment is often irritated, barium enters the site, empties rapidly, and does not fill well. The normal intestinal segments at both ends are well filled, which is called "skipping phenomenon" (stiedin sign); If the diseased intestinal segment can be filled, its mucosal folds are coarse and disordered, and the edge of intestinal wall is irregular, sometimes serrated; The narrowing of intestinal cavity, contraction and deformation of intestinal segment and disappearance of normal angle of ileum were observed.

matters needing attention

Tuberculosis need to do a lot of tests, which for patients, or need to pay attention to, because if not treated, the patient's disease may be more serious, in addition, although there are many tests, but patients should not be careless, should seriously check.