内镜下阑尾孔周围点状糜烂伴左半结肠弥漫性炎症在溃疡性结肠炎中的诊断意义研究  

h e Signii cance of Endoscopic Punctiform Erosion around Appendiceal Orii ce with Dif used Inl ammation in Let Semicolon in the Diagnosis of Ulcerative Colitis

作　　者：邓澎[1] 甘涛[1] 吴俊超[1] 

机构地区：[1]四川大学华西医院消化内科,成都610041

出　　处：《华西医学》2014年第2期249-251,共3页West China Medical Journal

摘　　要：目的研究内镜下阑尾孔周围点状糜烂性改变伴左半结肠弥漫性炎症在溃疡性结肠炎中的意义。方法收集2007年1月-2012年12月内镜下出现阑尾孔周围点状糜烂性改变伴左半弥漫性结肠炎症表现共29例患者,排除阑尾孔周围充血水肿、溃疡、息肉的患者,排除升结肠、横结肠等其他部位出现炎症改变的患者,以及左半结肠为节段性炎症改变患者。结合组织病理结果分析该病变对溃疡性结肠炎诊断的关系。结果 29例阑尾孔周围点状糜烂伴左半结肠炎患者中,26例诊断为溃疡性结肠炎,1例为克罗恩病,2例不能确诊。结论内镜下阑尾孔周围点状糜烂伴左半弥漫性结肠炎症改变可能对左半溃疡性结肠炎的诊断有一定的参考价值。Objective To investigate the significance of endoscopic punctiform erosion around appendiceal orifice with diffused inflammation in left semicolon in the diagnosis of ulcerative colitis. Methods Twenty-nine patients with endoscopic punctiform erosion around appendiceal orifice with diffused inflammation in left semicolon treated in West China Hospital from January 2007 to November 2012 were included in our study. Patients with either edema, ulcer, polyps around the appendiceal orifice, inflammation in the ascending colon or transverse colon, or segmental inflammation in left semicolon were excluded. The endoscopic characteristic changes and the final diagnosis were compared by means of the pathological biopsy. Results Of the total 29 patients with characteristic changes under the endoscope, 26 patients were eventually diagnosed to have left-sided ulcerative colitis, one was identified to be with Cronh＇s disease, and the remaining two patients could not be classified. Conclusion Our findings suggest that the characteristic changes under the endoscope may help the diagnosis of ulcerative colitis.

关 键 词：溃疡性结肠炎 跳跃性病变 阑尾孔 

分 类 号：R574.62[医药卫生—消化系统]