克罗恩病诊治难点

Difficulties in diagnosis and treatment of Crohn disease

近年来，我国克罗恩病发病率呈增加趋势．该病的诊治越来越受到临床医师重视。本文针对克罗恩病诊治临床工作中通常会遇到的困难，诸如克罗恩病的诊断、鉴别诊断、激素依赖患者的治疗、克罗恩病合并肛瘘的治疗及外科手术时机等问题，以循证医学为依据，提出笔者的观点及解决的办法。

The incidence of Crohn disease has gradually increased in recent years. The diagnosis and treatment of Crohn disease has gained more and more attention from clinicians. This article is to propose solutions to problems in the diagnosis and treatment of Crohn disease, based on evidence from clinical trials, including the diagnosis, differential diagnosis, management of steroid-refractory disease and anal fistula, and timing of surgery.