Deltz E, Hantschmann N
MMW Munch Med Wochenschr. 1976 Apr 9;118(15):465-8.
The possibilities of surgical treatment are outlined with reference to 45 patients with Crohn's enterocolitis granulomatosa. In 82% of the cases a large part of the colon is affected in addition to the terminal ileum, so that resections of the large intestine are necessary as a rule. In our patients the relapse rate after 3 years was 36%. An improvement in the late results can apparently be achieved if the resection is performed to correspond with the extent of the inflammatory changes demonstrated by a preoperative mesentericography. Postoperative immunosuppressive treatment over a long period may well contribute to the prevention of recurrences.
参照45例克罗恩病性肉芽肿性小肠结肠炎患者概述了手术治疗的可能性。82%的病例除回肠末端外,结肠大部分也受累,因此通常需要切除大肠。我们的患者3年后的复发率为36%。如果根据术前肠系膜造影显示的炎症变化范围进行切除,显然可以改善远期疗效。长期的术后免疫抑制治疗很可能有助于预防复发。