克羅恩病合并肺結(jié)節(jié)三例報(bào)道并文獻(xiàn)復(fù)習(xí)
發(fā)布時(shí)間:2021-11-03 11:52
目的總結(jié)克羅恩病(CD)合并肺結(jié)節(jié)的臨床特征。方法回顧性分析2019年1月至2019年12月中山大學(xué)附屬第六醫(yī)院收治的3例CD合并肺結(jié)節(jié)患者的臨床特征及診治過程,并以"pulmonary nodule"、"lung involvement"、"pulmonary manifestations"、"Crohn′s disease"、"inflammatory bowel disease"、"克羅恩病"、"肺結(jié)節(jié)"為檢索詞,檢索PubMed、Medline、Embase、萬方數(shù)據(jù)庫、中國知網(wǎng)自1990年3月至2020年3月的文獻(xiàn),進(jìn)行相關(guān)文獻(xiàn)復(fù)習(xí)總結(jié)。結(jié)果共檢索到25篇相關(guān)報(bào)道。納入3例CD患者,年齡14 ~ 36歲,男性2例,1例有小腸手術(shù)切除史;2例應(yīng)用腸內(nèi)營養(yǎng)(EEN)治療后達(dá)到緩解,腸黏膜愈合,肺結(jié)節(jié)消失;1例激素治療后炎癥緩解,肺結(jié)節(jié)消失。結(jié)論 CD合并肺結(jié)節(jié)少見,胸部高分辨CT是首選檢查方法,需要注意鑒別診斷,經(jīng)腸內(nèi)營養(yǎng)、激素治療可誘導(dǎo)緩解腸道炎癥,同時(shí)對(duì)肺部病變有治療作用,一般預(yù)后較好。
【文章來源】:中華炎性腸病雜志. 2020,04(03)
【文章頁數(shù)】:6 頁
【參考文獻(xiàn)】:
期刊論文
[1]Inflammatory bowel disease and cancer: The role of inflammation, immunosuppression, and cancer treatment[J]. Jordan E Axelrad,Simon Lichtiger,Vijay Yajnik. World Journal of Gastroenterology. 2016(20)
[2]Tracheobronchial nodules and pulmonary infiltrates in a patient with Crohn’s disease[J]. De-Gan Lu, Xiao-Qing Ji, Qi Zhao, Cai-Qing Zhang, Zhen-Fang Li Department of Respiratory Medicine, Shandong Provincial Qianfoshan Hospital, Jinan 250014, Shandong Province, China Department of Digestive Medicine,Liaocheng People’s Hospital, Liaocheng 252000, Shandong Province, China. World Journal of Gastroenterology. 2012(39)
本文編號(hào):3473632
【文章來源】:中華炎性腸病雜志. 2020,04(03)
【文章頁數(shù)】:6 頁
【參考文獻(xiàn)】:
期刊論文
[1]Inflammatory bowel disease and cancer: The role of inflammation, immunosuppression, and cancer treatment[J]. Jordan E Axelrad,Simon Lichtiger,Vijay Yajnik. World Journal of Gastroenterology. 2016(20)
[2]Tracheobronchial nodules and pulmonary infiltrates in a patient with Crohn’s disease[J]. De-Gan Lu, Xiao-Qing Ji, Qi Zhao, Cai-Qing Zhang, Zhen-Fang Li Department of Respiratory Medicine, Shandong Provincial Qianfoshan Hospital, Jinan 250014, Shandong Province, China Department of Digestive Medicine,Liaocheng People’s Hospital, Liaocheng 252000, Shandong Province, China. World Journal of Gastroenterology. 2012(39)
本文編號(hào):3473632
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