缺血性结肠炎88例内镜及临床特征  

Endoscopic and Clinical Characteristics of 88 Patients with Ischemic Colitis

作　　者：孙金山[1] 杨玉洁[2] 聂占国[1] 雷婷[1] 

机构地区：[1]新疆军区总医院消化科,乌鲁木齐830011 [2]解放军第474医院眼科,乌鲁木齐830026

出　　处：《新疆医学》2017年第10期1094-1097,共4页Xinjiang Medical Journal

摘　　要：目的探讨缺血性结肠炎(ischemic colitis,IC)内镜和临床特征,加强对该疾病的认识,提高早期诊断和治疗水平。方法回顾分析88例IC患者的内镜和临床特征。结果 IC多发生在60岁以上中老年人,女性多于男性,多数伴发高血压病、冠心病、糖尿病、高脂血症、心律失常等基础疾病,结肠镜检查及某些药物(化疗药、抗凝药、非甾体类药物、抗精神病药、干扰素等)亦可引起IC。临床表现主要有腹痛、便血和腹泻,病变主要位于左半结肠,发病类型以一过型最多见。结论具有相关基础疾病的老年人出现腹痛、便血、腹泻表现者,应警惕IC,应尽早行结肠镜及病理检查。经及时治疗,IC预后良好。Objective To summarize the endoscopic and clinical characteristics of ischemic colitis and to improve early diagnosis and treatment of the disease. Methods The endoscopic characteristics and clinical manifestations of 88 cases with ischemic colitis were retrospectively analyzed. Results Ischemic colitis usually occurred in elderly female patients, who often incorporated with some basic diseases, including hypertension, coronary heart disease, diabetes, hyperlipidemia and arrhythmia, etc. Colonoscopy and some medications can also induce ischemic colitis. The clinical predominant presentations were abdominal pain, hematochezia and diarrhea. The pathological changes found by colonoscopy were located mainly in left colon and most were transient leison type. Conclusion Ischemic colitis should be considered when elderly patients, who complicated with previous basic diseases, complaining acute abdominal pain, hematochezia and diarrhea. Early colonoscopy with biopsy plays an important role in diagnosis of ischemic colitis. Timely proper therapy is vital for its prognosis.

关 键 词：缺血性结肠炎 临床特征 结肠镜检查 诊断 治疗 

分 类 号：R574.62[医药卫生—消化系统]