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十二指肠克隆病约占克隆病1～2%,临床上日渐引起重视;但该病确诊常感困难。本文分析了89例十二指肠克隆病的临床特征,放射线和内镜检查及病理组织学特点,并复习治疗经验。病人和方法:1952年至1986年收治的病人符合下列两条诊断标准之一,1.十二指肠组织学检查有非干酪性肉芽肿样炎症,其余肠段有或无克隆病,但无全身性肉芽肿样炎症,2.十二指肠放射线和/或内镜检查有符合克隆病变化的(氵弥)漫性炎症,其余肠段有克隆病病
Duodenal Crohn’s disease accounts for about 1 ~ 2% of Crohn’s disease, and has drawn increasing attention in clinic. However, the diagnosis of Crohn’s disease is often difficult. This article analyzes the clinical features of 89 cases of duodenal Crohn’s disease, radiation and endoscopy and histopathological features, and review the experience of treatment. PATIENTS AND METHODS: Patients admitted between 1952 and 1986 met either of the following two diagnostic criteria: 1. Duodenal histology had non-parvicular granulomatous inflammation and the rest of the bowel had or no Crohn’s disease, but none Systemic granulomatous inflammation, 2. Duodenal radiation and / or endoscopy have consistent Crohn’s disease diffuse inflammation, the remaining bowel disease with Crohn’s disease