慢性放射性肠炎的临床特征分析  

Analysis of clinical characteristics of chronic radiation enteritis

作　　者：王金玲 郭先科[2] 秦明忠 

机构地区：[1]解放军第522医院内科,河南洛阳471000 [2]解放军第150医院内科,河南洛阳471000 [3]361489部队医院,河南洛阳471023

出　　处：《世界最新医学信息文摘》2014年第29期75-76,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：分析慢性放射性肠炎的临床资料和胶囊内镜特点，增进对慢性放射性肠炎的认识。方法回顾归纳2005年6月至2011年3月期间我院慢性放射性肠炎的临床资料和胶囊内镜及病理等相关资料。结果慢性放射性肠炎共20例，中老年人好发[发病年龄（32.9±72.8）岁]，病程较长[（8.6±128.5）月]，临床表现以腹痛、黑便、营养不良等为主，并发症以肠梗阻、肠瘘、肠狭窄、肠出血为主。胶囊内镜下小肠以黏膜糜烂溃疡出血、黏膜白色颗粒结节、肠腔狭窄为主要病变形态，节段式分部于小肠各部位，以回肠累最多（80%）。结论慢性放射性肠炎临床表现多样，胶囊内镜是慢性放射性肠炎的首选方法；目前慢性放射性肠炎诊断仍较困难，需结合临床表现影像学和胶囊内镜以及病理、追踪资料等综合判断。Objective To enhance the understanding of patients with chronic radiation enteritis（CRE） by analyzing the clinical data of CRE patients.Methods CRE cases admitted in No, 150 Central Hospital of PLA from June 2005 to March 2011 were summarized and analyzed retrospectively.Results Twenty patients had been enrolled,with apparent predilection for old patients（32.9±72.8 years）and longer course（8.6±128.5months） .The main symptoms were abdominal pain,malnutrition and melena,while intestinal obstruction,fistula formation and massive bleeding were common complications.The primary lesions of CRE were mucosal damage and stenosis which performed as segmental and skipping manner, and these lesions involved 80%. Conclusion CRE may cause diversity of clinical manifestations.Capsule Endoscopy（CE） exploration is the preferred means for CRE.Diagnosis of CRE needs a combined course that integrates with all valuable clinical evidences and clues.

关 键 词：慢性放射性肠炎 胶囊内镜 肠狭窄 放射性损伤 

分 类 号：R656[医药卫生—外科学]