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SM ISO690:2012 HOTINEANU, Vladimir, TIMIŞ, Tudor, ŢURCAN, Vadim. Rezultatul tratamentului medico-chirurgical al bolii Crohn cu localizare abdominală și perianală. In: Sănătate Publică, Economie şi Management în Medicină , 2013, nr. 5(50), pp. 27-32. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 5(50) / 2013 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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Pag. 27-32 | ||||||
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During 1995-2012 period 83 patients with CD were treated. The localization of infl amation was: terminal ileitis – 24 (29.1%), colon – 9 (10.8%), ileum and colon – 16 (19.3%), perianal region 34 (40.8%) cases. The distribution, according to CDAI Best was: easy =150-300/ 28 (33.7%), moderate =301-450/ 35 (42.2%), severe > 450 points/ 20 (24.1%) cases. 38(45.7%) from 83 patients underwent surgical treatment. Indications for surgery: ileocolic CD with vital complications – 8 (21.1%) obstructive strictures – 5 (13.2%), internal and external fi stulas – 4 (10.5%), severe steroid-linked effects – 3 (7.9%) cases; Perianal CD with abcesses, fi stulas, strictures – 18 (47.2%) patients. Types of surgical interventions: Ileocolic CD with segmentar resection+anasthomosis – 10 (26.3%), plasty of stricture – 3 (7.9%), colectomia – 7 (18.4%); perianal CD with – rectal resection+anasthomosis – 3 (7.9%), draining of the abscess – 3 (7.9%), draining of fi stula by Seton – 5 (13.2%), incision and plasty of stricture – 3 (7.9%), fi stuloplasty with vaginal fl ap – 2 (5.3%), ileostomy – 2 (5.3%) cases. Ileocolic CD: recurrence of illness – 3 (15%), repeated intervention – 2 (10%), postoperative complications – 4 (20%), postoperative lethality – 1 (5%) cases. Perianal CD: recurrence of illness – 6 (33.3%), repeated intervention – 4 (22.2%), postoperative complications – 5 (27.7%), postoperative lethality – 1 (5.6%) cases. |
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Cuvinte-cheie Crohn’s disease, perianal CD, indication for surgery, types of surgical interventions, болезнь Крона, перианальная БК, показания к хирургическому вмешательству, виды операций. |
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