摘要
目的探讨结肠镜结合黏膜染色及活检组织病理学检查在溃疡性结肠炎(Ulcerativecolitis,UC)诊断中的意义。方法回顾分析我院5年来确诊的454例UC。结果本组454例UC中,发病以21～50岁为主(75.2%),临床表现以黏液血便或脓血便(60.6%)及腹痛(41.2%)为主。病变分布以直肠、直乙状结肠及左半结肠最多见(63.7%)。结肠镜下表现以黏膜充血水肿(93.6%)伴糜烂(91.4%)或浅溃疡(62.6%)最常见。结论结肠镜检查结合黏膜染色及活检组织病理学检查对UC的诊断具有重要价值。
Objective To evaluate the significance of colonoscopy, chromoendoscopy and pathological examination in the diagnosis of ulcerative colitis（UC）. Method A retrospective analysis was performed in 454 patients with UC diagnosed in the past 5 years. Results In our study, the onset of UC mainly happened at the age of 21 - 50 years old. Bloody mucopurulent stools and abdominal pain were the most common symptoms which were present in 60.6 % and 41.2 % of the patients. Proctosigmoiditis and left-sided colitis were found in 289 patients （63.7%）. The focal hyperemias （93.6%）, erosions （91.4%） and ulcers （62.6%） were most common findings during colonoscopy. Conclusion Colonoscopy, together with chromoendoscopy and pathological examination play an important role in the diagnosis of UC.
出处
《现代消化及介入诊疗》
2006年第3期136-139,共4页
Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词
溃疡性结肠炎
结肠镜检查
黏膜染色
病理检测
Ulcerative colitis
Colonoscopy
Chromoendoscopy
Pathological examination
