在诊断时患有深层的儿童克朗氏病患者的长期结果
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Updated: May 8, 2025

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Monica S Ronconi1, Antoine Neuraz2, Elise Payen1
1Service de Gastro-Entérologie et Nutrition Pédiatrique, Centre de Référence Des Maladies Rares Digestives (MARDI), Assistance Publique-Hôpitaux de Paris, Hôpital Necker Enfants Malades, Université Paris Cité, Paris, France.
儿童克罗恩病 (CD) 患者的深预测在第一年内会出现更多的并发症和复发. 然而,随着时间的推移,由于积极的治疗策略,这种关联会减少.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 炎症性肠道疾病研究研究
- 临床儿科 临床儿科
背景情况:
- 诊断时的深 (DU) 与成年人中严重的克罗恩病 (CD) 现型有关.
- 了解儿科CD疾病严重程度的早期指标对于及时干预至关重要.
研究的目的:
- 为了确定诊断时的DU是否预测儿科CD患者的更严重的疾病过程.
- 调查 DU 对儿童疾病进展和并发症的长期影响.
主要方法:
- 在2009年至2017年间诊断的116名儿科CD患者的回顾性分析.
- 疾病过程,并发症和基于在结肠镜诊断时存在或不存在DU的治疗方法的比较.
- 数据收集包括诊断时的临床,实验室,治疗和并发症信息以及诊断后的1,3,5年.
主要成果:
- 在116名儿科患者中,52名在诊断时患有DU.
- 患有DU的患者在第一年内显著增加腹 (p=0.045) 和复发 (p=0.013) 的风险.
- 在3岁和5岁的组之间没有观察到疾病进展的显著差异.
- 患有DU的儿科CD患者在诊断后更早接受了抗TNFα疗法.
结论:
- 诊断时的DU与儿科克罗恩病的最初一年中并发症和复发的增加有关.
- 积极的治疗管理,包括早期的抗TNFα启动,可以减轻DU的长期影响.
- 在儿童CD中,DU是加强监测和治疗的重要早期标志物.
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