You Position: Home > Paper
Clinical characteristics and surgical treatment of Crohn disease complicated with intra-abdominal abscess
( views:311, downloads:180 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1671-0274.2007.03.003
- Key Word:
- 克罗恩病;腹腔脓肿;外科手术;复发
Abstract： 目的 探讨克罗恩病(CD)合并腹腔脓肿的临床特征和外科治疗及预后.方法 对2000-2005年间收治的142例CD患者其中合并腹腔脓肿的39例临床资料进行总结分析.结果 本组CD患者合并腹腔脓肿的总发病率为27.5%,从发病到脓肿形成的时间范围为0-22年,平均5年.发病年龄(34.7±12.3)岁.24例(61.5%)患者既往有手术史;30例(76.9%)患者的脓肿发生在右侧腹,尤其是在吻合口附近(48.7%).36例(92.3%)采取手术治疗,其中34例(34/36,94.4%)行手术引流加病变肠管切除,恢复良好.结论 CD有较高的腹腔脓肿并发率,发病年龄多在35岁,将近50%发生在原吻合口;脓肿前的CD病程平均5年;手术方式以脓肿引流加病变肠管切除为主.
- [1]任建安,陶庆松,王新波,等.克罗恩病并发肠瘘的诊断与治疗[J].2005,(2).
- [2]A J Greenstein,P Lachman,D B Sachar,etc.Perforating and non-perforating indications for repeated operations in Crohn's disease: evidence for two clinical forms.[J].1988,29(5).
- [3]M A, Ricci,K K, Meyer.Psoas abscess complicating Crohn's disease.[J].1985,80.
- [4]M B, Ribeiro,A J, Greenstein,Y, Yamazaki,etc.Intra-abdominal abscess in regional enteritis.[J].1991,213.
- [5]M R, Keighley,D, Eastwood,N S, Ambrose,etc.Incidence and microbiology of abdominal and pelvic abscess in Crohn's disease.[J].1982,83.
- [6]Gutman M,Neufeld D,Zissin R,etc.Abdominal wall abscesses in patients with Crohn's disease: clinical outcome.[J].2006,10(3).
- [7]G, Casola,E, vanSonnenberg,C C, Neff,etc.Abscesses in Crohn disease: percutaneous drainage.[J].1987,163.
- [8]Hahn PF,O'Neill MJ,Mueller PR,etc.Percutaneous abscess drainage in Crohn disease: technical success and short- and long-term outcomes during 14 years.[J].2002,222(3).
- [9]Lambiase RE,Cronan JJ,Dorfman GS,etc.Percutaneous drainage of abscesses in patients with Crohn disease[J].1988.
- [10]Roger D Hurst,Michele Molinari,T.Philip Chung,etc.Prospective study of the features, indications, and surgical treatment in 513 consecutive patients affected by Crohn's disease[J].1997,122(4).
- [11]Kazuhiro Maeda,Mitsuo Okada,Tsuneyoshi Yao,etc.Intestinal and extraintestinal complications of Crohn's disease: Predictors and cumulative probability of complications[J].1994,29(5).
- [12]Toshiharu Ueki,Hiroyuki Ono,Toshiyuki Matsui,etc.The clinical characteristics and outcome of intraabdominal abscess in Crohn's disease[J].2004,39(5).
- [13]Bonis PA,Garcia JC,Topazian M,etc.Abscesses in Crohn's disease: outcome of medical versus surgical treatment.[J].2001,32(5).
- [14]Jawhari,A,Kamm,MA,Ong,C,etc.Intra-abdominal and pelvic abscess in Crohn's disease: results of noninvasive and surgical management.[J].1998,85(3).