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[从妇科医生鉴别诊断的角度看克罗恩病。病例报告]

[Crohn's disease from the viewpoint of differential diagnosis by the gynecologist. Case report].

作者信息

Kindt J, Gastinger I, Retzke U

出版信息

Zentralbl Gynakol. 1982;104(21):1379-84.

PMID:7164643
Abstract

Typical morphological changes resulting from Crohn's disease, including hyperplasia of resident lymphatic tissue, abscesses, fistulae, adhesions, and diverticula, are described in this paper, with reference being made to a case history. The following demands are derived from the findings for gynaecological practice: 1. intestinal diagnosis for all unelucidated adnexal tumours; 2. cooperation with surgeons for surgery; 3. anal lesions should in any case be regarded as a reason to think of Crohn's disease; 4. Crohn's disease should be included into differential diagnosis, whenever pathological alterations are recordable from the intestines with no conspicuous findings from internal genitals on exploratory laparotomy.

摘要

本文结合病例描述了克罗恩病引起的典型形态学变化,包括固有淋巴组织增生、脓肿、瘘管、粘连和憩室。从这些发现中得出了妇科实践的以下要求:1. 对所有不明附件肿瘤进行肠道诊断;2. 与外科医生合作进行手术;3. 无论如何,肛门病变都应被视为考虑克罗恩病的一个理由;4. 当剖腹探查术中肠道有病理改变而内生殖器无明显发现时,应将克罗恩病纳入鉴别诊断。

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