摘要
目的探讨克罗恩病的发病、诊断、外科治疗及预后。方法回顾性分析2000年7月～2010年9月在苏州大学附属第一医院接受手术治疗的25例克罗恩病例。对患者的一般资料、临床表现、内科治疗情况、手术指征、手术方式等方面的资料进行分析，并随访术后患者病情演变及预后。结果25例患者中术前确诊8例，误诊率68％，该组患者表现以腹痛、腹泻和腹部肿块为主，分别占84％、32％、16％。25例患者全部行手术治疗，手术原因以肠梗阻最多，手术方法以肠部分切除吻合术最多，术后并发症5例，复发7例。结论克罗恩确诊率低，术前误诊率高．可根据术中所见准确判断；其l艋床表现多种多样，需严格掌握手术指征，选择合理的手术方式和系统的药物治疗。
Objective To investigate the pathogenesis,diagnosis,surgical therapy and prognosis of the Crohn＇s disease（CD）.Methods 25 cases of CD with surgical therapy were gathered,which were admitted during 2000.7 and 2010.9 for a retrospective study. The clinical data include original data, clinical manifestation,medical treatment,surgery indication,operation type and flow up the patients to observe the condition changed and prognosis. Results Among 25 cases with Crohn＇s disease,8 cases were diagnosed before operation,and 17 cases（68%）were misdiagnosed.Main clinical manifestations included abdominal pain（84%）,diarrhea（32%） and abdominal mass（16%）.Intestinal obstruction was the most common cause of the operation.Partial enterectomy and anastomosis was the main procedure.Postoperative complications occurred in 5 cases,7 cases relapsed.Conclusion The diagnostic rate of CD was low and the mis-diagnostic rate was high before the operation.Doctors can determine accurately this disease based on the findings during operation.The treatment is by selecting a reasonable method of operation and systemic medication.
出处
《中国血液流变学杂志》
CAS
2011年第2期303-306,共4页
Chinese Journal of Hemorheology
关键词
克罗恩病
手术治疗
手术指征
Crohn＇s disease
surgical therapy
operation indication
