Lauschke H, Kaminski M, Wiedwald C, Tolba R, Hirner A
Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie der Rheinischen Friedrich-Wilhelms-Universität Bonn, Germany.
Zentralbl Chir. 2002 Aug;127(8):706-11. doi: 10.1055/s-2002-33578.
We performed a retrospective analysis in patients after operative therapy of Crohn's disease in our institution.
81 patients that underwent surgery from 1990-1995 were analysed retrospectively. The follow up period in these patients was 42 months.
In 81 patients a total of 88 operations were performed. 56 patients were operated for the first time. The average patient's age was 35 years (range 14-76 years). Crohn's disease was located predominantly in the area of the ileocoecal valve. The most frequent operation was the ileocoecal resection. The prevalent operative indication in patients with small intestine Cohn's disease was the obstruction, in small intestine and colon manifestation the fistula. Complications in the early postoperative course appeared in 14 % of the patients. Postoperative mortality was 1.1 %. In a postoperative observation period of 3.5 years 3 of 57 patients (5 %) had to undergo surgery again, due to recurrence. Altogether 25 of 81 (31 %) patients revealed a recurrence.
The surgical therapy of Crohn's disease can be performed safely and provides long-term recurrence and complaint free periods.
我们对本院接受克罗恩病手术治疗后的患者进行了回顾性分析。
回顾性分析了1990年至1995年间接受手术的81例患者。这些患者的随访期为42个月。
81例患者共进行了88次手术。56例患者首次接受手术。患者的平均年龄为35岁（范围14 - 76岁）。克罗恩病主要位于回盲瓣区域。最常见的手术是回盲部切除术。小肠克罗恩病患者最常见的手术指征是梗阻，小肠和结肠表现为瘘管。14%的患者在术后早期出现并发症。术后死亡率为1.1%。在3.5年的术后观察期内，57例患者中有3例（5%）因复发不得不再次接受手术。81例患者中共有25例（31%）出现复发。
克罗恩病的手术治疗可以安全进行，并能提供长期无复发和无不适的时期。
