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Crohn病术后最常见的并发症为疾病复发。为了确定影响术后复发率的危险因素,本文随访1964～1973年间在美国纽约Mount Sinai医院作第一次手术的93名患者,分析年龄、性别、病变部位、手术种类和术前病程对复发率的影响。患者男性45人(24人复发),女性48人(30人复发),共分3个年龄组(<23岁、23～40岁、>40岁),病变均由外科病理证实。复发病例均由放射学和/或手术确诊。统计资料表明男女性别及各年龄组的复发率相同。 93名患者中回肠炎38人(41%),回结肠炎39人
The most common complication after Crohn’s disease is recurrence of the disease. In order to determine the risk factors affecting the postoperative recurrence rate, we followed the 93 patients who underwent the first operation at Mount Sinai Hospital in New York from 1964 to 1973. The age, sex, lesion location, type of surgery, and preoperative course of relapse rate were analyzed. Impact. 45 male patients (24 relapsed) and 48 females (30 relapsed) were divided into 3 age groups (<23 years, 23-40 years, >40 years). The lesions were confirmed by surgical pathology. Recurrences were confirmed by radiology and/or surgery. Statistics show that gender and age groups have the same recurrence rate. Of the 93 patients, there were 38 ileitis (41%) and 39 ileal colitis.