克隆氏病患者常因一些慢性难治性问题和急性并发症而在其病期中作剖腹探查术。术前多难以诊断和确定病变部位,并需要与许多炎性或肿瘤性肠道病变作鉴别。作者复习 Iowa 大学医院于1968年到1979年间诊断为克隆氏病的78例记录后,提出这些病例的术中所见与目前剖腹术中识别此病的标准不同。他确立了三类决定克隆氏病诊断的发现和其结果,1.下列各点是主要的诊断指标,即在末端回肠有长而不对称的狭窄,病损呈节段性,透壁炎症,深裂隙状溃疡,园石状外形,伴有瘘管或窦道。2.下列各点是次要的指标,即有慢性肠道炎症史,口疮溃疡,弥漫性粘膜炎症,回肠末端短而对称的狭窄,可伴肛门、关节、皮肤和眼部等病损,用水杨酰偶氮磺胺吡啶和强的松治疗显效。3.这类症状和后果与克隆氏病的 Crohn’s disease patients often undergo laparotomy during their disease due to some chronic refractory and acute complications. Preoperative diagnosis and more difficult to determine the location of the lesion, and the need to identify with many inflammatory or neoplastic lesions. After reviewing 78 records of Iowa University Hospital diagnosed as Crohn’s disease from 1968 to 1979, the authors suggested that the intraoperative findings in these cases differed from the current criteria for identifying the disease in laparotomy. He established three types of findings that determine the diagnosis of Crohn’s disease and its results.1 The following are the main diagnostic criteria for long, asymmetrical stenosis in the terminal ileum, segmental lesions, transmural inflammation, Deep fissure ulcer, garden stone shape, associated with fistula or sinus. 2. The following points are secondary indicators of chronic inflammatory bowel disease, aphthous ulcers, diffuse mucosal inflammation, short and symmetrical stenosis at the distal ileum, with anus, joints, skin and eye lesions, water Salicylazosulfapyridine and prednisone treatment markedly. 3. Such symptoms and consequences of Crohn’s disease