下消化道出血内镜检查与治疗581例  

Colonoscopic Examination and Therapy of 581 Lower Gastrointestinal Bleeding

作　　者：赵强[1] 俞生富[1] 何维新[1] 唐晓兰[1] 

机构地区：[1]解放军第113医院,浙江宁波315040

出　　处：《临床军医杂志》2001年第4期29-31,共3页Clinical Journal of Medical Officers

摘　　要：目的　探讨下消化道出血病人大肠镜检查与治疗的临床意义。方法　 1991年 1月— 2 0 0 0年 12月对 5 81例因下消化道出血就诊于我院消化内科的患者进行大肠镜的检查与治疗。结果　大肠息肉 314例 (5 4 0 5 % ) ,大肠癌 89例(15 32 % ) ,慢性结肠炎 72例 (12 39% ) ,溃疡性结 (直 )肠炎 5 8例 (9 98% ) ,肛门肛周病变 9例 (1 5 5 % ) ,血管瘤、P—J综合征各 3例 (0 5 2 % ) ,结肠憩室、肠结核、孤立性溃疡各 1例 (0 17% ) ,阴性 30例 (5 16 % ) ,大肠镜对下消化道出血病因确诊率 94 84%。在 314例中发现并摘除息肉 395个。结论　对下消化道出血病人应及早进行大肠镜检查与治疗 ,以期早期明确病因 ,提高治疗效果。Objective The clinical implication of colonoscopic examination and therapy on lower gastrointesinal bleeding. Methods A total of 581 lower gastrointestinal bleeding underwent colonoscopic examination and therapy from Jan. 1991 to Dec. 2000. Results It was revealed that no abnormality was found in 30 individuals, colonic polyps in 314 (Of the polyps a total of 395 was removed), colonic cancer in 89, chronic colitis in 72, ulcerative colitis (rectitis) in 58, anal or perianal diease in 9, vascular tumour in 3, P-J syndrome in 3, colonic diverticulum in 1, colonic tuberculosis in 1, solitary ulcer in 1. Conclusion With early colonoscopic examination and therapy for lower gastrointestinal bleeding can help diagnose and improve effect.

关 键 词：大肠镜 下消化道出血 治疗 

分 类 号：R574[医药卫生—消化系统]