摘要
目的:探讨缺血性结肠炎的临床特点、内镜特征及诊断和治疗方法.方法:对37例缺血性结肠炎患者的临床表现、易患因素、结肠镜检查、患者的转归等资料进行回顾性分析.结果:缺血性结肠炎多发于老年患者,其中>60岁者占70.3%(26/37).多伴有高血压、冠心病、糖尿病以及脑血管病等基础疾病.腹痛、腹泻以及便血为主要临床表现.结肠镜下以黏膜充血、水肿、糜烂、溃疡等为主要表现,为非特异性表现,病变主要见于左半结肠,呈节段性分布.多数患者预后良好,27例(72.9%,27/37)患者基本愈合.结论:老年患者出现急性腹痛,腹泻以及便血应注意缺血性结肠炎可能,早期结肠镜检查,综合临床分析可及时明确诊断指导治疗.结肠镜检查时应该小心操作因为肠镜检查本身可以诱发缺血性结肠炎.
AIM：To analyze the clinical features,endoscopic characteristics,diagnosis and treatment of ischemic colitis.METHODS：A retrospective analysis was performed to summarize the clinical features,predisposing factors,colonoscopic findings and outcomes in 37 patients suffering from ischemic colitis.RESULTS：Ischemic colitis occurred more often in elderly patients.In our series,70.3% （26/37） of patients were older than 60 years.These patients often had concomitant basic diseases,such as hypertension,coronary heart disease,diabetes and cerebrovascular diseases.The main manifestations ofischemic colitis were abdominal pain and diarrhea and bloody stools.The lesions revealed by colonoscopy were mainly located in the left colon and distributed in a segmental pattern,and the pathological changes included mucosal edema,congestion,erosion and ulceration.The prognosis was good in most cases.Of all 37 patients,27 （72.9%） almost completely recovered.CONCLUSION：Ischemic colitis should be suspected in elderly patients with acute abdominal pain,diarrhea and bloody stools.Early colonoscopy in combination with clinical analysis is helpful for accurate diagnosis and appropriate treatment ofischemic colitis.Colonoscopy may induce ischemic colitis and should be cautiously performed.
出处
《世界华人消化杂志》
CAS
北大核心
2010年第19期2058-2061,共4页
World Chinese Journal of Digestology
关键词
缺血性结肠炎
结肠镜
内镜特征
Ischemic colitis
Colonoscopy
Endoscopic characteristics
