摘要
目的:探讨缺血性肠病的内镜下表现以及临床诊治方法。方法:回顾性分析2003年12月～2009年12月间我院收治的24例缺血性肠病的临床资料、肠镜所见以及病理改变情况。结果:24例缺血性肠病中,22例经保守治疗后好转,2例因腹痛加重转外科手术治疗后好转。内镜下可见肠管呈节段性病变分布,病变多位于结肠。病理表现多为黏膜充血水肿、肠壁出血及变性坏死为主,伴不同程度的炎症反应。结论:对缺血性肠病应早期行肠镜确诊,大多病例早期行抗凝、改善微循环等内科保守治疗可以治愈。
Objective：To explore the endoscopic features and clinical diagnosis and treatment of ischemic colitis.Methods：Clinical data,endoscopic findings and pathological changes of 24 cases with ischemic colitis were analyzed retrospectively,which were treated in our hospital from December 2003 to December 2009. Results：Of 24 cases of ischemic colitis,22 patients were treated with conservative therapy,2 patients were transferred surgery because of increasing abdominal pain.Intestinal endoscopic visible lesions were segmental distribution and most of lesions were in the colon.The main pathological manifestations were mucosal congestion and edema,hemorrhage and necrosis of intestinal wall,with varying degrees of inflammatory response.Conclusion：Schemic colitis should be diagnosed with colonoscopy in early stage, most patients can be cured with early anticoagulation,improve microcirculation and other medical therapy.
出处
《中国医药导刊》
2010年第12期2067-2068,共2页
Chinese Journal of Medicinal Guide
关键词
缺血性肠病
内窥镜
病理表现
Ischemic colitis
Colonoscopy,Pathological manifestation
