摘要
目的:分析缺血性结肠炎的临床特征及预后与病变部位的关系,探讨病变单纯累及分水岭时患者的病情及预后与其他部位受累者是否有差异。方法:57例缺血性结肠炎患者分为3组:脾曲分水岭组(GP组)、直乙交界分水岭组(SP组)以及非分水岭组。回顾性分析患者的一般特征、合并症、临床表现、治疗及复发情况等临床资料。结果:57例患者中分水岭组8例(14.1%),其中GP组3例(5.3%),SP组5例(8.8%);非分水岭组49例(85.9%)。GP、SP及非分水岭组3组之间,分水岭组与非分水岭组两组之间性别、年龄、合并症、临床表现、实验室检查结果、病情恢复及复发情况无差异。结论:病变仅累及分水岭的缺血性结肠炎患者与其他部位受累的患者比较,病情及预后无特殊性。
Objective： To compare the clinical features and outcomes of ischemic colitis isolated to watershed areas of the colon with those of isehemia involving other areas of the colon. Methods： A retrospective study was undertaken of 57 patients with isehemic colitis. Data on the following variables were collected for all subjects： age, sex, coexisting medical conditions, clinical presentation, manegment, recurrence. Patients were divided into three groups according to the anatomical location of the lesions： the splenic flexcure group, the rectosigmoid junction group and those not invoving watershed areas in an isolated fashion. Results： Eight （ 14.3% ） cases involved watershed areas, of which 3 （5.3%） had ischemic colitis isolated to the splenic flexcure and 5（8.8% ） had isehemic colitis isolated to the rectosigmoid junction （Sudek＇s point ）. The data menshened before were not statistically different among patients involve Griffith＇s point or Sudek＇s point compared with patients with ischemic colitis not invoving watershed areas in an isolated fashion. In addition, there were no significant difference between ischemic colitis patients isolated to watershed areas and others. Conclusions： The clinical features and outcomes of patients with ischemia colitis isolated to watershed areas of the colon are not significantly different with those involving other areas of the colon.
出处
《现代医学》
2011年第4期401-405,共5页
Modern Medical Journal
关键词
缺血性结肠炎
脾曲
直乙交界
分水岭
ischemic colitis
the splenic flexcure
rectosigmoid junction
watershed areas
