Crohn病的外科治疗
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谭兴国

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The surgery treatment of Crohn′s disease
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    摘要:

    目的:探讨Crohn病(CD)的诊断及外科治疗方法。
    方法:回顾性分析31例CD的临床资料、治疗方法及随访结果并进行分析。
    结果:该病临床表现多样,全组术前确诊仅9例,纤维肠镜检查12例中5例诊断为该病。31例患者行1次或2次手术治疗, 术后发生并发症7例,1例死亡,术后复发5例。
    结论:Crohn病确诊率低,术前误诊率高;可根据术中所见准确判断。治疗宜选择合理的手术方式和系统的药物治疗。

    Abstract:

    Objective:To explore the diagnosis and treatment of Crohn′s disease.
    Methods:We retrospectively analysed the clinical data,treatment and the follow-up result of 31 patients with Crohn′s disease.
    Results:The clinical manifestations of Crohn′s disease were variable, and preoperative diagnosis was made in only 9 cases in this group.In 12 cases with intestinal fiberscopy, there were only 5 cases correctly diagnosed.The 31 cases all had one or two operations, postoperative complications occurred in 7 cases, 1 case died,and 5 cases relapsed.
    Conclusions:The diagnostic rate of CD was low and the misdiagnostic 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.

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谭兴国, 杨竹林, 蒋嘉睿, 周钧, 李民郴. Crohn病的外科治疗[J].中国普通外科杂志,2009,18(4):17-385.
DOI:10.7659/j. issn.1005-6947.2009.04.017

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  • 在线发布日期: 2009-04-25