Oberstein A, Jaeger V, Prämassing W, Gutjahr G
Institut für Klinische Strahlenkunde, Universitätsklinikum Mainz.
Rofo. 1991 Mar;154(3):246-51. doi: 10.1055/s-2008-1033128.
Crohn's disease has highly variable presentation in the x-ray examination depending on the stage of the gut wall inflammation. Our series showed that the lesions concern mainly the ileocecal region with involvement of the terminal ileum in 72.4% and of the cecum in 56.2% of the cases. In patients who required only conservative treatment mainly "cobble stone"-lesions, pseudopolyps and pseudodiverticuli could be demonstrated. Patients who needed surgical therapy showed in the first place stenosis, spicules and fistulae. Of all the studied patients 59% had to be assigned to surgery and of these 62% showed signs of relapse. The recurrence of disease occurred in 88% at the site of the anastomosis mainly in the first two years after operation. Differences in the frequency of relapse after the first or the second operation could not be seen.
克罗恩病在X线检查中的表现因肠壁炎症阶段的不同而有很大差异。我们的系列研究表明，病变主要累及回盲部，72.4%的病例累及末端回肠，56.2%的病例累及盲肠。仅需保守治疗的患者主要表现为“鹅卵石样”病变、假息肉和假憩室。需要手术治疗的患者首先表现为狭窄、毛刺样改变和瘘管。在所有研究患者中，59%必须接受手术治疗，其中62%有复发迹象。疾病复发发生在吻合口部位的占88%，主要发生在术后的头两年。首次或第二次手术后复发频率没有差异。
