儿童克罗恩病手术适应证及术后处理

Surgical indications and postoperative management of Crohn＇s disease in children

克罗恩病是一种透壁性的慢性肉芽肿性炎症，易合并肠狭窄、肠梗阻、肠穿孔、瘘管、脓肿及消化道大出血等并发症。因此，克罗恩病患儿常需接受手术治疗，然而目前对于手术适应证的掌握及术后处理仍然充满挑战性。预防术后复发，减少并发症的发生，显得尤为重要。

Crohn＇s disease is a transmural and chronic granulomatous inflammation and it can easily complicated with enterostasis, intestinal obstruction, intestinal perforation, fistula, abscess and massive hemorrhage of gastrointestinal tract. Therefore, patients with Crohn＇s disease often need surgery, but the surgical indications and postoperative management is still full of challenge. Preventing postoperative recurrence and reducing the complications is essential.