摘要
目的 总结缺血性结肠炎的临床及内镜特点 ,探讨其诊断方法。方法 分析 2 6例经结肠镜发现、病理确诊的缺血性结肠炎的相关资料。结果 5 0岁以上老年人多见 ( 80 .8% ) ,2 2例 ( 84 .6 % )伴有高血压、冠心病、糖尿病、便秘及高脂血症等基础疾病或诱因。临床主要表现为腹痛、血便及腹泻等 ,病变多位于左半结肠。早期内镜表现主要为结肠黏膜水肿、充血、糜烂及溃疡。病变大多为一过型 ( 76 .9% ) ,如能早期诊断与治疗 ,多数预后良好。结论 4
Objective:To evaluate clinical and endoscopic characteristics of ischemic colitis(IC),and to explore the methods for the diagnosis of IC. Methods:To analyse interrelated information of 26 cases of IC diagnosed by colonoscopic and pathology .Results: Of the 26 cases ,21(80.8%) were over 50 years. 22 cases (84.6%) were associated with the basic diseases such as hypertension, cardiac diseases,diabetes mellitus,constipation and hyperlipemia .IC usually presented with sudden onset of abdominal pain ,hematochezia and diarrhea.Ischemic lesion were most often on the left colon. Colonoscopy showed mucosal edema ,congestion ,erosion and ulceration at early stage .It consisted transient or reversible colitis in 20 cases(76.9%). 92.3% of the cases were cured after early diagnosis and correct treatment .Conclusion:Colonoscopy with biopsy is the main method for the diagnosis of IC .It should be performed in 48 h.
出处
《中国内镜杂志》
CSCD
2004年第1期13-15,共3页
China Journal of Endoscopy
