中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2012年
8期
695-698
,共4页
左芦根%李毅%王宏刚%朱维铭%曹磊%张伟%龚剑峰%李宁%黎介寿
左蘆根%李毅%王宏剛%硃維銘%曹磊%張偉%龔劍峰%李寧%黎介壽
좌호근%리의%왕굉강%주유명%조뢰%장위%공검봉%리저%려개수
Crohn病%吻合术,外科%结肠切除术%手术后并发症%复发
Crohn病%吻閤術,外科%結腸切除術%手術後併髮癥%複髮
Crohn병%문합술,외과%결장절제술%수술후병발증%복발
Crohn disease%Anastomosis,surgical%Colectomy%Postoperative complications%Recurrence
目的 观察处于活动期与缓解期的克罗恩病(CD)患者术后并发症及复发的情况,并加以比较.方法 回顾性分析2002年1月至2011年1月因CD相关并发症在南京军区南京总医院行肠切除吻合手术的90例患者的临床资料,比较缓解期CD(47例)与活动期CD(43例)患者术后内镜复发、临床复发、并发症发生率、拆线时间、术后住院天数及住院花费情况.结果 2组患者术后并发症发生率(分别为14.9%和51.2%,x2=6.979)、拆线时间(t=4.124)、术后住院时间(t=8.837)差异比较均有统计学意义(P<0.001).2组术后1年累计内镜下复发率分别为8.5%和27.9%,差异有统计学意义(x2=4.605,P=0.032),术后2、3年的复发率比较差异无统计学意义.结论 缓解期CD患者术后并发症发生率低,伤口愈合快,住院天数短,住院花费少,且术后早期内镜下复发率低;但疾病处于活动期与缓解期CD患者在术后远期复发率方面没有差异.
目的 觀察處于活動期與緩解期的剋囉恩病(CD)患者術後併髮癥及複髮的情況,併加以比較.方法 迴顧性分析2002年1月至2011年1月因CD相關併髮癥在南京軍區南京總醫院行腸切除吻閤手術的90例患者的臨床資料,比較緩解期CD(47例)與活動期CD(43例)患者術後內鏡複髮、臨床複髮、併髮癥髮生率、拆線時間、術後住院天數及住院花費情況.結果 2組患者術後併髮癥髮生率(分彆為14.9%和51.2%,x2=6.979)、拆線時間(t=4.124)、術後住院時間(t=8.837)差異比較均有統計學意義(P<0.001).2組術後1年纍計內鏡下複髮率分彆為8.5%和27.9%,差異有統計學意義(x2=4.605,P=0.032),術後2、3年的複髮率比較差異無統計學意義.結論 緩解期CD患者術後併髮癥髮生率低,傷口愈閤快,住院天數短,住院花費少,且術後早期內鏡下複髮率低;但疾病處于活動期與緩解期CD患者在術後遠期複髮率方麵沒有差異.
목적 관찰처우활동기여완해기적극라은병(CD)환자술후병발증급복발적정황,병가이비교.방법 회고성분석2002년1월지2011년1월인CD상관병발증재남경군구남경총의원행장절제문합수술적90례환자적림상자료,비교완해기CD(47례)여활동기CD(43례)환자술후내경복발、림상복발、병발증발생솔、탁선시간、술후주원천수급주원화비정황.결과 2조환자술후병발증발생솔(분별위14.9%화51.2%,x2=6.979)、탁선시간(t=4.124)、술후주원시간(t=8.837)차이비교균유통계학의의(P<0.001).2조술후1년루계내경하복발솔분별위8.5%화27.9%,차이유통계학의의(x2=4.605,P=0.032),술후2、3년적복발솔비교차이무통계학의의.결론 완해기CD환자술후병발증발생솔저,상구유합쾌,주원천수단,주원화비소,차술후조기내경하복발솔저;단질병처우활동기여완해기CD환자재술후원기복발솔방면몰유차이.
Objective To determine whether the perioperative disease activity is associated with recurrence and complications after bowel resection for Crohn's disease (CD).Methods Clinical data of patients underwent bowel resection for CD at the Nanjing General Hospital of Nanjing Military Command from January 2002 to January 2011 was retrospectively analyzed.Postoperative recurrence and complications in patients with active disease were compared with those in patients with remission.Results A total of 90 patients underwent bowel resection for CD,active disease were seen in 43 patients at the time of surgery,while the rest 47 patients were in remission.The postoperative cumulative endoscopic recurrence rate was 8.5% at 1 year,27.7% at 2 years and 44.7% at 3 years in the patients with remission,and was 27.9% at 1 year,37.2% at 2 years and 53.5% at 3 years in patients with active disease. Data indicated the endoscopic recurrence were statistically significant in the first year after surgery ( x2 =4.605,P =0.032 ).Additional,the postoperative complication rates in patients with remission ( 14.9% ) was significantly lower than that in patients with active disease (51.2%) (x2 =6.979,P<0.001).Conclusion Patients with active disease at the time of surgery were encountered with early postoperative recurrence and increased complications after intestinal resection for CD.