Crohn 病与肠结核的临床及病理鉴别诊断要点.pdf

iaeav,id(bi955yi7#H?C,i955Va,_bBV5vla5.N#5a=5fS,NvbCTaNB,?AU.N5,OikY4b=ERCPVAUO57,?bAUAJPB,4E=h,A1HV|_b5?955,iaeavVC,BaCT?C5f#,?5f#.NEybERCP_UE=h,955f,=5R5f(955null),O5s,O595(PnullB),O515mm,VhM,5?955nullb4U55fP5?955,?5hM,i,*ERnullCP_,?CAJPB5?,#HbID1nullkV.5?955=iDJ.5,2007,20(6):48null50.2nullf,K.955E=iBJ.+uD0,2001,13(1):19.3nullHuB,ZhouDY,GongB.TheclinicaldiagnosisandtreatmentillustrateofERCPM.Shangha:iShanghaiScinullenceTecnologyPress,2004:84.4nullSugiyamaM,AtomiY.EndoscopicultrasonographyfordinullagnosinganomalouspancreaticobiliaryjunctionJ.GasnulltrointestEndosc,1997,45(3):261null267.5nulli,y,1.O5s?J.?$5,2008,21(3):268null270.6nullChenF,WangJ.AnomalouspancreaticobiliaryductalunionandtherelateddiseasesJ.MedicalRecapitulate,2006,12(3):179null180.7null*,.295FNJ.5,2009,22(12):55.(lHW:2010null03null02)Crohn病与肠结核的临床及病理鉴别诊断要点杨丹球T:535000R,RgBDhSnullnullK1nullnull)Crohnh5#hkY1bZEnull19982008M59Crohnh315#h$sbTnullCrohnh3n,?h,8h,1hM8.Na+xFM；on,hM,i?8A,hM,#bnullCrohnhkY4,185VCa=a_#mSh_Zbnullnull1oMnullCrohnh；,；,kY；h_Sms|nullR574.662；R524nullnullDSnullBnullnullcI|null1002null3429(2010)06null0570null02nullnullCrohnhBhyEsb#V#,#Ks,hy#aL.afy#t3bs)SU+sbF000)C#54,?hq6t1,2b5VCC+s,PabMV,Crohnh?hV?9s)M1,PCrohnh5VCa=#h+(BM,=ZE,#kY1blCrohnh#h,s15VCa=hZs,V7=kY4Gb1null51null1nullBnull419982008MiCrohnh#hbCrohnh59,338,o21,3o11.81；?hM-1059,(34.5；4EBNb31,312,o19,3o111.6；?hM-1972,(45.5b1null2nullS#ZEnullCrohnhv2007MDhhsS3,v!ChS4bF5ai?a=#mVCah_aSF_T$sb1null3nullT1null3null1null5VC:#Crohnh:?uel,.e#/,L.e,CE,dVVCebF48(81.4%)Crohnhe1,Ha*AL36(61null0%),hL8(13.6%)；iE6(10.2%),/va,d4(6.8%),3(5.1%),8h2(3.4%),h5701(1.7%)bi?85(8.5%),g8*4(6.8%),hM2(3.4%)b%:eavLM1VC,e/aeae,Vaapahtab31e24(77.4%),18(58.1%),L1(3.2%)bXLiXL_,4Uk7,k2b%q(ESR)9y21,)B3k(PPD),27(87.1%)Vn()b1null3null4nullFT:S8(25.8%)F,7CrohnhSF(|b2null)2null1nullkYnullCrohnh(hdn%h,O5a=#hVCZBM,#q5null7bFCrohnh?hM-l,M；Crohnh3n,7o；CrohnhVEBNbKn5VCea,CrohnheaL；e#vLMn,i84bF41.9%i#8,BINb=#mSh_kY1ilbAU,CrohnhhM,:#aFMaM+；,*a,?5a8.N1VCb2null2nullhM+2null2null1nullCrohnh:F20yi?7m,v8hM+KThM:#*:,Hb#,W*；6B*:b%.N:.NuB,?,K.N5.N,.N)C9b&*+xFM:*#W*/a,P*Hb:sCrohnh*VvlbF2*Ci?vlb(v:Crohnh(#8F93,W#2T,9yTew7)v,n,5XL_(?bF4yNmb；A/+Ca#a*/9za%,45.8%Vh,NCrohnhilb2null2null2null:v8hM+s9:#:hMS*%l,%lVbhMC%5_,v9v,yC%55,#,MNbyN,BP#H_a_#s)+y,8V4h1,vN8b9,CrohnhkY15D=hD=-%4a8s,i,A1H5,bID1null.14sJ.5,2008,21(4):22null23.2nullMisraSP,MisraV,DwivediM.IleoscopyinpatientswithileocolonictuberculosisJ.WorldJGastroentero,l2007,13(11):1723null1727.3nullDhhs.Sh?SMinJ.h,2007,12(8):488null495.4null,S,.ChM.:3,2000:366null368.5null9,Rd；,S,.Crohnh501fD8J.5,2007,20(12):23null25.6null0,fa.