克罗恩病导致的急腹症行手术治疗的临床研究  

Clinical study of surgical treatment for cute abdomen caused by crohn's disease

作　　者：杜向阳[1] 

机构地区：[1]吉林省四平市中心医院,吉林四平136000

出　　处：《中国当代医药》2011年第31期36-36,38,共2页China Modern Medicine

摘　　要：目的:探讨克罗恩病导致的外科急腹症的治疗方法及效果。方法:回顾性分析本院2003年6月～2010年6月收治的16例由克罗恩病引起的外科急腹症患者的临床资料。结果:16例患者中10例患者表现为机械性肠梗阻,4例患者表现为肠穿孔,2例患者表现为消化道出血。术前仅诊断5例,误诊率为68.8%。手术方法主要有病变部位肠切除,肠切除+造瘘术,肠切除加小肠旷置术。治疗后15例痊愈出院,1例围术期死亡。结论:克罗恩病缺乏特异的临床表现,常以急腹症出血,术前诊断较为困难,手术方式以切除病变肠管为主要治疗原则。Objective：To investigate the therapeutic methods and effects for the surgical acute abdomen caused by crohn＇s disease.Methods：Clinical data of the 16 patients with crohn＇s disease and resulting surgical acute abdomen admitted and treated in our hospital from June 2003 to June 2010 was analyzed retrospectively.Results：Of the 16 cases,10 cases manifested mechanical intestinal obstruction,4 cases manifested intestinal perforation and 2 cases manifested digestive bleeding.Only 5 cases were diagnosed preoperatively,with the misdiagnosis rate of 68.8%.The main surgical methods included intestinal resection in the lesion area,intestinal resection plus fistulation and intestinal resection plus small intestine exclusion.After treatment,15 cases recovered and were discharged from hospital,and 1 case died in the perioperative period.Conclusion：Crohn＇s disease,lacking specific clinical manifestations,usually causes acute abdomen bleeding.Its preoperative diagnosis is difficult and the surgical method considers the resection of lesion intestinal tube as the main treatment principles.

关 键 词：克罗恩病 炎症性肠病 急腹症 外科 手术 

分 类 号：R574[医药卫生—消化系统]