缺血性结肠炎68例临床特征及内镜表现分析

Clinical characteristics and endoscopic findings of 68 patients with ischemic colitis

关键词:  缺血性结肠炎  内镜检查  临床特征

Key words:  [Key words]　ischemic colitis  endoscopy  clinical characteristics

摘要:

目的　探讨缺血性结肠炎的临床特征及内镜表现，以提高对本病的认识，减少误诊、漏诊。方法　对68例缺血性结肠炎患者的临床资料进行回顾性分析。其中，60岁以上的老年患者52例(占76.47%)。总结该病的临床特点、内镜和病理特征及诊治经过。结果　60岁以上的老年患者多伴有高血压、糖尿病、冠心病、动脉粥样硬化等基础疾病。临床主要表现为突发腹痛、腹泻及便血，病变多位于左半结肠。一过型59例，狭窄型9例，无坏死型。病理学表现无特异性。结论　缺血性结肠炎以老年人多见，多伴有基础疾病，及时行结肠镜及病理检查对本病的早期诊断具有重要意义。

Abstract:

[Abstract] Objective　To analyze endoscope and clinical features of ischemic colitis (IC), to improve its diagnosis and treatment, and to lower the rates of missed and erroneous diagnosis. Methods　68 patients with ischemic colitis were retrospectively reviewed for their clinical features, endoscopic findings, clinicopathological characteristics and treatments. Results　The majority of patients were over the age of 60 years. Most of the cases were associated with some underlying diseases such as hypertension, diabetes, coronary heart disease and atherosclerotic disease. Clinical symptoms associated with IC included sudden onset of left lower quadrant abdominal pain, hematochezia and diarrhea. The lesions were mainly located at left side colon with segmental form. In our studies, there were 59 cases with transient or reversible colitis, 9 cases with stricture colitis and no case with necrotic colitis. Conclusion　Ischemic colitis mainly occurs in aged patients. Most of the cases were with basic diseases. Early colonoscopy with biopsy plays an important role in diagnosis of IC. Early diagnosis and proper therapy are vital for its prognosis.