Glass R E, Baker W N
Gut. 1976 Jan;17(1):75-7. doi: 10.1136/gut.17.1.75.
The clinical significance of sarcoid-like granulomata in recurrent Crohn's disease has been investigated in 90 patients. The recurrence rate for non-granulomatous disease was double that of granulomatous disease. In granulomatous disease, involvement of the mesenteric lymph nodes did not affect the recurrence rate. This suggests that sarcoid-like granulomata reflect the patients' immune response and support the view that excision of the lymphatic drainage en bloc with affected bowel is not indicated.
对90例复发性克罗恩病患者中类肉瘤样肉芽肿的临床意义进行了研究。非肉芽肿性疾病的复发率是肉芽肿性疾病的两倍。在肉芽肿性疾病中,肠系膜淋巴结受累并不影响复发率。这表明类肉瘤样肉芽肿反映了患者的免疫反应,并支持以下观点:即不建议将受累肠段及其淋巴引流一并切除。