Poyda A I, Mehlnik V M, Kucher N D, Zhehlman V A, Krivoruk M I
Klin Khir. 2015 Feb(2):5-12.
Surgical tactics in Crohn's disease (CD) was elaborated by the authors, basing, on analysis of modern views on pathogenesis, peculiarities of clinical course, possibility of diagnosis and experience of treatment of the disease. It envisages a modern diagnosis of the disease, prognostication of the recurrence and postoperative complications occurrence, the indications optimization, the choice of surgical treatment method Application of the surgical tactics elaborated for CD in 121 patients have permitted to improve objective estimation of the disease severity, to prognosticate the complications occurrence, to optimize indications for surgical treatment and the choice for method o conditionally radical, restorational, reconstructive--restoration stages of operative intervention, to reduce the disease recurrence rate, postoperative complications and postoperative lethality.
作者在分析现代关于克罗恩病（CD）发病机制的观点、临床病程特点、诊断可能性及治疗经验的基础上，阐述了CD的手术策略。该策略包括对疾病的现代诊断、复发及术后并发症发生的预测、适应证优化、手术治疗方法的选择。对121例CD患者应用所阐述的手术策略，有助于改善对疾病严重程度的客观评估、预测并发症的发生、优化手术治疗适应证及选择有条件根治性、修复性、重建 - 修复阶段的手术干预方法，降低疾病复发率、术后并发症及术后死亡率。
