活检标本克罗恩病的病理鉴别诊断  

Pathological differential diagnosis of Crohn’s disease in biopsy specimens

作　　者：毛洁[1] 姜支农[1] Mao Jie;Jiang Zhinong(Department of Pathology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院病理科,杭州310016

出　　处：《临床与实验病理学杂志》2025年第3期285-290,共6页Chinese Journal of Clinical and Experimental Pathology

摘　　要：克罗恩病的病理诊断较困难,形态特征不具有特异性,与其他肠道疾病形态学有重叠。由于克罗恩病与有些肠道疾病,特别是感染性疾病治疗方案差异较大,错误诊断可能会导致严重后果。因此为了减少误诊,克罗恩病的诊断需结合临床和内镜所见,并在做出诊断前进行详细的鉴别诊断。该文从临床病理实践出发,详细论述克罗恩病的病理鉴别诊断要点和相关临床病理研究进展。The pathological diagnosis of Crohn’s disease was challenging due to its non-specific morphological features,which overlap with other intestinal diseases.Given the significant differences in treatment strategies between Crohn’s disease and certain intestinal disorders,particularly infectious diseases,misdiagnosis diagnosis can lead to severe consequences.To minimize diagnostic errors,the diagnosis of Crohn’s disease should be based on a comprehensive evaluation that intergrates clinical and endoscopic findings,along with a meticulous differential diagnosis.This review,based on clinical and pathological practice,provides a detailed discussion of key aspects of the pathological differential diagnosis of Crohn’s disease and recent advancements in related clinicopathological research.

关 键 词：克罗恩病 病理特征 鉴别诊断 

分 类 号：R733.4[医药卫生—肿瘤]