儿童炎症性肠病血清学指标的临床及诊断价值(文献复习)

A. Kamalova, Marina A. Khanafina, G. A. Garina
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引用次数: 0

摘要

炎症性肠病(IBD)的患病率在全球范围内呈上升趋势。克罗恩病(CD)和溃疡性结肠炎(UC)的特点是病程缓慢,并发症发生率高,手术治疗风险高。高达50%的乳糜泻患者死于其并发症,其中四分之一的患者一生中至少需要一次手术。IBD患者患结直肠癌和小肠癌的风险是普通患者的8倍。25%的IBD病例可在儿童期确诊。个体组早期强化治疗可显著减少并发症和手术治愈率。然而,目前对于IBD的不良病程并没有可靠的预后标准。本综述的目的是定义研究最多的IBD血清学标志物,并评估免疫再激活在儿童CD和UC病程中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and Diagnostic Value of Inflammatory Bowel Diseases' Serological Markers in Children (Literature Review)
The prevalence of inflammatory bowel diseases (IBD) is increasing worldwide. Crohn's disease (CD) and ulcerative colitis (UC) are characterized by chronic progressive course, high frequency of complications, and high risk of surgical treatment. Up to 50% of CD patients die due to its complications, and quarter of these patients require at least one surgery during their lifetime. IBD patients have 8 times higher risk of colorectal and small intestine cancer. IBD diagnosis can be established during childhood in 25% of cases. Early intensified therapy of individual patient groups could significantly reduce complications and surgical treatment rates. However, nowadays there are no reliable prognostic criteria for the unfavorable course of IBD. The aim of this review is to define the most studied IBD serological markers and to evaluate immune reactivation role in CD and UC course in children.
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