Belohlavek D, Koch H, Morl M
Fortschr Med. 1976 Mar 4;94(7):358-62.
Early rather characteristic symptoms are found in ulcerative colitis as well as in Crohn's disease. In these patients, but also in an advanced stage, differential diagnosis between these two disorders is possible by means of endoscopic techniques and guided biopsy. In a high percentage of patients with ulcerative colitis good results are obtained with conservative therapy, using salazopyridine alone or in combination with cortisone. Combination therapy with salazopyridine and cortisone seems to offer the best results in Crohn's disease too, however, in a certain percentage of cases surgical intervention is unavoidable.
溃疡性结肠炎和克罗恩病都有早期较为典型的症状。对于这些患者,即便处于疾病晚期,借助内镜技术和引导活检也能够对这两种疾病进行鉴别诊断。在溃疡性结肠炎患者中,很大比例的患者采用单独使用柳氮磺胺吡啶或联合使用皮质醇的保守疗法可取得良好效果。柳氮磺胺吡啶和皮质醇联合治疗在克罗恩病中似乎也能取得最佳效果,然而,在一定比例的病例中,手术干预是不可避免的。