摘要
目的 :探讨克隆病的误诊原因。方法 :回顾性分析本院临床误诊的 16例克隆病。结果 :误为粘连性肠梗阻 3例 ,肠结核 3例 ,急性阑尾炎 1例 ,阑尾周围脓肿急性发作 2例 ,腹膜炎急性胃穿孔 2例 ,回肠肿瘤 2例 ,结肠肿瘤 2例 ,膀胱肿瘤 1例。结论 :提高对本病的认识 ,利用X线钡餐、内窥镜、活检等手段 ,可降低误诊率 ,防止手术扩大化。
Objective:To detect the cause of misdiagnosis of Crohn's disease.Methods:We retrospectively analysed 16 patients with Crohn's disease misdiagnosed clinically.Results:Those patients were misdiagnosed as adhesive intestinal obstruction for 3 cases,intestinal tuberculoses for 3 cases,acute appendicitis for 1 case,abscess of appendix for 2 cases,peritonitis gastrointestinal perforation for 2 cases, ileal tumor for 2 cases,colonic tumor for 2 cases and bladder tumor for 1 case.Conclusion:It's important for surgeons to recognize the symptoms and signs of this disease and make use of X ray,ultrasound,biopsy and so on to improve the diagnostic accuracy and prevent unnecessary management.
关键词
克隆病
误诊原因
误诊率
crohn's disease
diagnosis
treatment
