109-2-醫學五-49大腸直腸外科
比較Ulcerative colitis及Crohn's colitis,下列敘述何者錯誤?
Agross appearance : Ulcerative colitis較多有thickened colon wall
Bmicroscopic appearance : Crohn's colitis常有lymphoid aggregates
Cclinical features : Ulcerative colitis較常有血便
Doperative treatment : Crohn's colitis是ileal pouch的contraindication
核心考點
潰瘍性結腸炎(UC)病變為黏膜與黏膜下層的連續性發炎,腸壁不增厚;克隆氏症(Crohn's disease)為全層(transmural)發炎,腸壁增厚、有鵝卵石樣外觀、爬行脂肪(creeping fat)。因此「UC 較多有增厚腸壁」是錯的。