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作者报道10年来(自1978年1月起)为24例梗阻性克隆氏病施行30次狭窄整形手术的经验,患者均有症状,药物治疗无效,小肠钡剂检查均显示肠道狭窄。剖腹探查时,根据狭窄肠段和剩余肠段的长度、受累肠段的炎症活动性和受累肠段的相邻距离,决定选用狭窄整形手术。分析结果:1.原病史:确立诊断平均已72月,其中9例的病程已超过10年。17例在狭窄整形术前曾因克隆氏病接受手术36次。2.术前概况:已有肠梗阻症状平均4周,87%病例小肠灌肠显示狭窄。术前平均
The authors report that over the past 10 years (since January 1978), 24 patients with obstructive Crohn’s disease underwent 30 sphincter treatments. All patients had symptoms and were ineffective with drug therapy. Small intestine and barium tests showed intestinal stenosis. Laparotomy, according to the length of the narrow intestine and the remaining bowel, bowel involvement involved in inflammatory activity and adjacent bowel distance, decided to use the stenosis surgery. Analysis of the results: 1. The original medical history: the establishment of diagnostic average has been 72 months, of which 9 cases of the disease has more than 10 years. Seventeen patients underwent surgery for Crohn’s disease before stented plastic surgery 36 times. Preoperative overview: the symptoms of intestinal obstruction has been an average of 4 weeks, 87% of cases showed small bowel enema. Preoperative average