与克罗恩氏病相关的腹部和盆腔:治疗模式和结果
Tarek Odah1, Farha Deceus2, Hani Tamim3
1Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA. odah.tarek@mayo.edu.
Digestive diseases and sciences
|February 19, 2026
概括
克罗恩氏病 (CD) 腹腔皮的治疗方法各不相同. 高率的救援治疗和延迟的手术强调了对这些复杂的CD并发症的个性化方法的需要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 腹腔骨腹是克罗恩病 (CD) 患者经常出现的并发症.
- 对于CD相关,通常需要个性化管理.
研究的目的:
- 为了评估与CD相关的腹腔骨腹的现实世界治疗模式.
- 评估与不同初始管理策略相关的结果.
主要方法:
- 成年CD患者患有腹腔盆腔的回顾性队列研究 (2017年1月-2021年10月).
- 最初的管理分为手术,干预性放射学 (IR) 引导的程序或医疗治疗.
- 随访2年,评估救援治疗和整体手术率.
主要成果:
- 包括93名患者;初始管理:手术 (27%),IR (38%),医疗 (35%).
- 60%的人需要在2年内进行手术;没有发现2年后需要手术的预测因素.
- 医疗组的救援治疗最高 (39%),其次是IR (26%).
结论:
- 克罗恩氏病的管理取决于复杂性.
- 高率的救援治疗和延迟的手术需要量身定制的患者方法.
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