重症溃疡性结肠炎临床和病理分析  

Clinical analysis and hostological feature on severe ulcerative colitis

作　　者：杨绍安[1] 邱玉艳[1] 

机构地区：[1]哈尔滨242医院,150066

出　　处：《航空航天医药》2008年第1期27-28,共2页Aerospace Medicine

摘　　要：目的:对重症溃疡性结肠炎进行临床和病理分析并讨论其临床意义。方法:重症溃疡性结肠炎(UC)患者119例。采取肠外静脉补充足够的营养,完全胃肠道休息,治疗4周后进行结肠镜检查。结果:重症UC经过4周治疗后临床痊愈36例(39.3%),好转65例(54.6%),无效18例(15.1%),总有效率84.9%。初发型,复发型和持续型UC内镜下和组织学存在一定差异,但治疗总有效率明显差异。结论:初发型,复发型和持续型UC内镜下和组织学存在一定差异,肠外静脉高营养疗法是一种有效可行的方法。Objective：To study clinical analysis and histological features in patients with severe ulcerative colitis.Methods：The patients with severe ulcerative colitis（n = 119） were finally diagnosised by fibercolonscopy, barium enema and histology.The disease processes were in initial（ n = 25）, relapse（ n = 54 ） and continuing（ n = 40）, Gastrointestinal tract rested completely during parenteml hyperalimentafion and fibercolonscopy post - therapy.Results：There was a full cover from the iUness（n= 36）, taking a turn for the better （n= 65） and inefficiency （n= 18） ,and the total effective rate were 84.9% .For disease processes in initial, relapse and continuing.Conlusions：There are difference of fibercolonscopy and histology for UC in initial, relapse and continuing.The parenteml hyperalimentation therapy is an effective therapy methed for patients with severe ulcerative colitis.

关 键 词：溃疡性结肠炎 重症 结肠镜检查 病理特征 肠外高营养 

分 类 号：R574.62[医药卫生—消化系统]