缺血性结肠炎与溃疡性结肠炎临床表现及内镜特点的对比分析  

Comparative Analysis Between Clinical and Endoscopic Features of Ischemic Colitis and Ulcerative Colitis

作　　者：戚红霞[1] 杨蒲芳[1] 李晓虹[1] 汪明涛[1] 

机构地区：[1]上海市普陀区人民医院消化内科,上海200060

出　　处：《临床消化病杂志》2011年第4期200-202,共3页Chinese Journal of Clinical Gastroenterology

摘　　要：目的比较缺血性结肠炎（IC）与溃疡性结肠炎（UC）临床及内镜表现的差异,研究对两者的鉴别以利对其的诊断和治疗。方法回顾分析2007年1月~2010年8月诊断为IC 30例和UC 40例患者的资料,重点分析两者在年龄分布、性别构成、病程、基础疾患、临床和内镜表现及病理诊断的异同点。结果 IC组和UC组在年龄分布、病程、基础疾患及临床表现上差异显著,两组比较,差异有统计学意义,P〈0.01。两组内镜表现在溃疡形成、黏膜新鲜出血及病变分界等方面,差异有统计学意义,P〈0.01。而组织病理学方面,无显著差异。结论结合病史综合分析患者临床特征、内镜下表现等差异,为IC和UC的鉴别可提供有力依据。Objective To compare the differences of clinical and endoscopic features between ischemic colitis（IC） and ulcerative colitis（UC）,which might extend to different diagnosis and treatments.Methods Retrospective analysis were focused on the similarities and differences of age structure,gender,onset duration,underlying disease,clinic and endoscopic features,pathological diagnosis of IC patients（30 cases） and UC patients（40 cases） from January 2007 to August 2010.Results The differences of age structure,duration,underlying disease,clinic features between the IC and UC were significant（P0.01）.Helcosis,fresh bleeding of mucous membrane and lesion boundaries of endoscopic features were significantly different（P0.01）.But the histopathologic features of IC and UC were not significantly different.Conclusion We should make a comprehensive analysis of clinical and endoscopic features by combining with medical history,for providing a strong basis for the identification of IC and UC.

关 键 词：缺血性结肠炎 溃疡性结肠炎 对比分析 

分 类 号：R574.62[医药卫生—消化系统]