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目的总结分析肠道克罗恩病的外科治疗。方法对1995-2009年郑州市第六人民医院外科手术的50例克罗恩病的临床资料进行分析。结果手术前确诊10例。确诊率20%,误诊40例,误诊率80%,肠梗阻18例、右下腹包块7例、急性阑尾炎12例、肠穿孔3例、是术前误诊的几大原因,手术方式以右半结肠切除,小肠切除为主。结论手术仍是治疗药物治疗无效的克罗恩病及克罗恩病急症的主要方法。
Objective To summarize and analyze the surgical treatment of intestinal Crohn’s disease. Methods The clinical data of 50 cases of Crohn’s disease from 1995 to 2009 in the Sixth People’s Hospital of Zhengzhou City were analyzed. Results 10 cases were diagnosed before surgery. The diagnosis rate of 20%, 40 cases of misdiagnosis, misdiagnosis rate of 80%, 18 cases of intestinal obstruction, right lower quadrant mass in 7 cases, 12 cases of acute appendicitis, intestinal perforation in 3 cases, preoperative misdiagnosis of several major causes of surgery to the right half Colon resection, mainly intestinal resection. Conclusions Surgery is still the main method of treating Crohn’s disease and Crohn’s disease which are ineffective in treating drug therapy.