CAJ | 학술논문

目的探讨克隆病的外科治疗方式.方法对我院行外科手术治疗的克隆病11例的临床资料进行回顾性分析.结果本组患者术前确诊9例,主要症状为腹痛、腹泻或便秘、体重下降,病变多呈节段性分布.手术原因以腹部包块最多,占54.5%(6/11);其次为肠梗阻,占36.4%(4/11);肛周脓肿占9.1%(1/11).手术方法主要为肠管部分切除吻合,有3例不除外恶变行右半结肠癌根治,其中2例术后病理为中度非典型增生.术后均恢复较好,与术前比较营养状态明显改善(P均＜0.05).结论克隆病手术原因以腹部包块及出现肠梗阻为主,病程较长者有癌变倾向.手术方式以切除至无肉眼可见病变肠管较多,与扩大切除同样获得较好疗效.
목적 탐토극륭병적외과치료방식.방법 대아원행외과수술치료적극륭병11례적림상자료진행회고성분석.결과 본조환자술전학진9례,주요증상위복통、복사혹편비、체중하강,병변다정절단성분포.수술원인이복부포괴최다,점54.5%(6/11);기차위장경조,점36.4%(4/11);항주농종점9.1%(1/11).수술방법주요위장관부분절제문합,유3례불제외악변행우반결장암근치,기중2례술후병리위중도비전형증생.술후균회복교호,여술전비교영양상태명현개선(P균＜0.05).결론 극륭병수술원인이복부포괴급출현장경조위주,병정교장자유암변경향.수술방식이절제지무육안가견병변장관교다,여확대절제동양획득교호료효.
Objective To explore the surgical treatment of Crohn's disease(CD).Methods Clinical data of 11 patients with Crohn's disease undergoing surgery were retrospectively analyzed.Results 9 cases were diagnosed before operation,with symptoms including abdomen pain,diarrhea or constipation,weight loss,and segmental lesions.Abdominal mass was the most common cause,accounting for 54.5%(6/11)in surgery,and intestinal obstruction was secondary.accounting for 36.4%(4/11),and perianal abscess,9.1%(1/11).Partial enterectomy and anastomosis was the main procedure.3 cases were suspected malignance and underging radical cure.The pathology results showed there was moderate atypical hyperplasia in 2 of 3.Most of the patients had a good recovery and their nutritional conditions were improved obviously(P＜0.05).Conclusion Abdominal mass and intestinal obstruction are the main causes of surgical management in patients with Crohn's disease.The possibility of cancerization is higher in patients with longer medical history.The length of intestine reseeted would be enough with visitable lesions resected,and the operative effects are as good as those underwent radical cure.