纤维结肠镜检查对下消化道出血的诊治  

Diagnosis and Treatment of Lower Gastrointestinal Hemorrhage by Fiberocolonoscopy

作　　者：王文中[1] 

机构地区：[1]江西医学院一附院消化科

出　　处：《江西医学院学报》1992年第2期147-149,共3页Acta Academiae Medicinae Jiangxi

摘　　要：用纤维结肠镜对下消化道出血诊治565例。年龄5～78岁。便血220例(38.9%),脓血便236例(41.8%),大便带血98例(17.3%),黑便11例。镜检阳性526例(93.1%)。其中,慢性结肠炎221例(39.1%),息肉157例(27.8%),内痔50例,溃疡性结肠炎46例,结肠癌27例,血吸虫病17例,溃疡性结肠炎46例,结肠癌27例,血吸虫病17例,其它8例。出血以直肠(294例)和乙状结肠(343例)为多。病理以炎症(246例)、息肉(101例)为主要病变。认为纤维结肠镜检查可补乙状结肠镜和 X 线钡灌肠之不足。对病因和镜下高频电凝术进行了讨论。Five hundred and sixty five patients aged 5-78 with lower gastrointestinal hemorrhage were diag- nosed and treated by fiberocolonoscopy.The chief complaints were hematochezia in 220 cases(38. 9%),pus-bloody stool 236(41.8%),stool with blood 98(17.3%)and melena 11.Five hundred and twenty six of them(93.1%)had positive fiberocolonoscopic findings,including 221 chronic colitis (39.1%).157 colonic polyps(27.8%),50 internal hemorrhoid,46 ulcerative colitis,27 coloiic can- cer,17 schistosomiasis and 8 others.The commonest sites of lower gastrointestinal hemorrhage were rectum(294)and sigmoid colon(343).The main pathological changes were inflammations(246)and polyps(101).This suggests that fiberocolonoscopy is superior to sigmoidoscopy and barium enema.The causes of lower gastrointestinal hemorrhage and high frequency electric coagulation by fiberocolono- scopy have been discussed.

关 键 词：出血 胃肠 诊断 结肠镜术 结肠疾病 直肠疾病 

分 类 号：R574.620.4[医药卫生—消化系统]