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目的:回顾性分析克罗恩病(CD)的临床、内镜、病理特点。方法:对本院2005/2008年CD住院病例,按照中华医学会消化病学分会的建议分析其临床、内镜、病理特点。结果:15例CD表现以腹痛、腹泻、体重下降为主,内镜诊断率80%,病理诊断率53.3%。结论:对腹痛、腹泻、体重下降者,应积极行全结肠镜检查,对可疑病例,应反复查肠镜,多部位、深凿式取活检,可提高CD诊断率。
Objective: To retrospectively analyze the clinical, endoscopic and pathological features of Crohn’s disease (CD). Methods: In our hospital 2005/2008 CD inpatient cases, according to Chinese Medical Association digestive disease branch recommendations analysis of its clinical, endoscopic and pathological features. Results: Fifteen cases of CD were mainly abdominal pain, diarrhea and weight loss. The endoscopic diagnosis rate was 80% and the pathological diagnosis rate was 53.3%. CONCLUSIONS: For those with abdominal pain, diarrhea and weight loss, full colonoscopy should be actively performed. For suspicious cases, colonoscopy, multi-site and deep-chisel biopsy should be performed repeatedly to improve the diagnostic rate of CD.