| 溃疡性结肠炎患者手术治疗预测因素分析 |
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| 引用本文： | 邓卫萍,杨红,钱家鸣.溃疡性结肠炎患者手术治疗预测因素分析[J].胃肠病学,2011,16(9):544-546. |
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| 作者姓名： | 邓卫萍 杨红 钱家鸣 |
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| 作者单位： | 中国医学科学院,北京协和医学院,北京协和医院消化科,100730 |
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| 摘 要： | 手术是溃疡性结肠炎（UC）内科治疗无效或发生严重并发症者的治疗选择.目的：分析UC患者行手术治疗的可能预测因素.方法：纳入1998年8月～2009年9月北京协和医院住院UC患者312例,其中34例接受手术治疗,278例接受非手术治疗,回顾性分析、比较两组患者的各类临床资料.结果：住院UC患者手术率为10.9%,手术死亡率为5.9%,重度UC患者手术率为23.9%.手术组13例患者为激素抵抗,8例为激素依赖,9例发生严重并发症,4例激素治疗有效者主动要求手术治疗.手术组平均住院次数显著多于非手术组（P〈0.05）,术前Hb、白蛋白显著低于非手术组（P〈0.05）,CRP显著高于非手术组（P〈0.05）,重度结肠炎、全结肠炎患者比例显著高于非手术组（P〈0.05）.结论：疾病严重程度高、病变范围广、对激素抵抗的UC患者,手术需求增加.
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| 关 键 词： | 结肠炎 溃疡性 外科手术 治疗 |
Analysis for Factors Predicting Surgical Therapy in Patients with Ulcerative Colitis |
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| DENG Weiping,YANG Hong,QIAN Jiaming.Analysis for Factors Predicting Surgical Therapy in Patients with Ulcerative Colitis[J].Chinese Journal of Gastroenterology,2011,16(9):544-546. |
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| Authors: | DENG Weiping YANG Hong QIAN Jiaming |
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| Institution: | DENG Weiping,YANG Hong,QIAN Jiaming.Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing(100730) |
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| Abstract: | Surgery is a treatment option for ulcerative colitis(UC) patients with no response to medical treatment or having serious complications.Aims:To analyze the possible predictive factors for surgical therapy in UC patients. Methods:Clinical data of 312 UC in-patients,including 34 surgically treated patients and 278 non-surgically treated patients from Aug.1998 to Sep.2009 in Peking Union Medical College Hospital were analyzed retrospectively.Results: The surgical treatment rate in UC in-patients was 10.9%,and ... |
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| Keywords: | Colitis Ulcerative Surgical Procedures Operative Therapy |
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