摘要
目的研究缺血性结肠炎(IC)临床表现、内镜特点及肠镜检查时机,以提高诊断率。方法回顾分析77例IC住院患者临床及内镜资料,并电话随访其转归。结果 IC多发于女性(男∶女=1∶2.85)和50岁以上患者(92.21%),67.61%合并基础疾病者,多为心脑血管疾病。腹痛71例(92.21%),便血74例(96.10%),腹泻36例(46.75%),其中有腹痛、腹泻、便血三联征36例(46.75%)。早期行肠镜检查(≤48 h)可以提高诊断率。结肠黏膜病变大多累及左半结肠,急性型73例,慢性型4例。肠镜检查前IC误诊率达18.18%。结论 50岁以上和女性患者以及心脑血管疾病是IC高危因素,典型表现为腹痛、腹泻、便血三联征;肠镜检查应早期进行。
Objective To evaluate the clinical manifestation,endoscopic findings and endoscopic opportunity of ischemic colitis(IC) in order to improve the diagnosis rate.Methods We retrospectively reviewed seventy seven patients with IC in our hospital of a 10-year period for their clinical endoscopic data,and followed up by phone after discharge to find out their prognosis.Results IC was most common in women(male/female=1:2.85).92.21% of total patients were aged over 50.67.61% of them contained basic diseases,which were most cardio-cerebrovascular diseases(79.17%).71 cases(92.21%)had abdominal pain,74 cases(96.10%)with hematochezia and 36 cases(46.75%) with diarrhea.Of the total 36 cases(46.75%) had triad of abdominal pain,diarrhea and hematochezia.Early colonoscopy(≤48h) could improve IC diagnosis rate.The lesions were mainly located at left colon.Acute type was found in 73 cases(mild type 65,moderate type 8,severe type none) and chronic type in 4.IC misdiagnosis rate was 18.18% before colonoscope.Conclusion Age over 50,female and cardio-cerebrovascular diseases are risk factors of IC.Typicl manifestation of IC is triad of abdominal pain,diarrhea and hematochezia.Diagnosis requires early colonoscopy(≤48h).
出处
《安徽医学》
2011年第4期434-436,共3页
Anhui Medical Journal