摘要
目的:总结缺血性结肠炎的临床表现、内镜特点及其转归。方法:所有病例均于症状出现后48h内行全结肠内镜检查,并于14d～1月内复查结肠镜,观察其临床特征及内镜下表现特点。结果:经结肠镜检查确诊的30例缺血性结肠炎患者,年龄34～84岁,平均年龄为56.5岁。临床主要表现为突发左下腹痛、血便及腹泻等,病变多数位于以脾曲为中心的左侧或右侧结肠。一过性炎症型者25例,狭窄型4例,仅有1例坏疽型。如能早期诊断预后良好。结论:早期行结肠镜检查是诊断缺血性结肠炎的主要方法。
Objective：To observe the symptoms ,colonoscopic features and turnover of the ischemic colitis. Methods：Colonoscopy was performed for all the patients with ischemic colitis in 48 hours after the symptom onset, and followed up over 14 days to 1 month after the first time of colonoscopy. Results：The 30 cases （average age 56. 5 years old, range 34 -84）were determined. IC usually presented with sudden onset of left lower quadrant abdominal pain, diarrhea and hematochezia. Patients＇ ischemic lesions were most often on the left or right colon around splenic flexure . It consisted transient or reversible colitis in 25 cases, stricture colitis in 4 cases and gangrene colitis in only 1 case. Most of the cases were cured after early diagnosis. Conclusion： Colonoscopy performed in the early stage of the onset is the main method for the diagnosis of IC.
出处
《牡丹江医学院学报》
2009年第2期41-43,共3页
Journal of Mudanjiang Medical University
