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缺血性不会显著影响克罗恩病的内镜复发评分:右侧切除术后的一项多中心比较研究
Antonio Rispo1, Michele Cricrì2, Fabiana Castiglione1
1Gastroenterology, School of Medicine "Federico II" of Naples, Italy.
克罗恩氏病患者在手术后出现的异位性明显多于结肠癌患者. 这表明鲁特格尔茨得分可能高估了克罗恩病的术后复发.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 内镜检查是指内镜检查.
背景情况:
- 手术后复发 (POR) 影响高达70%的克罗恩病 (CD) 患者.
- 鲁特格尔茨得分 (RS) 可能会高估CD的解瘤复发.
- 需要比较CD和结肠癌 (CC) 中的静脉性.
研究的目的:
- 为了比较CD患者的静脉 POR 的患病率.
- 评估右侧切除的CC患者在静脉位上的的存在.
- 为了评估在CD复发中解道性的诊断意义.
主要方法:
- 对CD和CC患者进行右侧切除与L-L解剖的回顾性分析.
- 在手术后8个月内进行内镜评估.
- 在CD和CC组之间直接比较单独的静脉性的患病率 (Rutgeerts i2A).
主要成果:
- 包括221名CD患者和72名CC患者.
- 在57%的CD患者中观察到POR.
- 在3%的CC患者中发现了解剖口腔,明显低于CD患者 (19%;p < 0.01).
结论:
- 截面性在CC患者中很少见,这表明它们不是缺血问题的迹象.
- 在CD患者中,的高患病率可能导致RS高估POR.
- 需要进一步的前性多中心研究来验证这些发现.
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