缺血性结肠炎的结肠镜及影像学检查特征分析  

Clinical analysis of colonoscopy and imaging characteristics of patients with ischemic colitis

作　　者：陈晓露[1] 张彦亭[1] 司望利[1] 原姗姗[1] 郭汉青 庄坤[1] CHENXiao lu;ZHANG Yan-ting;SI Wang-li;YUAN Shan-shan;GUO Han-qing;ZHUANG Kun(Department of Gastroenterology,Xi’an Central Hospital,Xi'an 710003,China)

机构地区：[1]西安市中心医院消化科,陕西西安710003

出　　处：《临床消化病杂志》2021年第1期26-29,共4页Chinese Journal of Clinical Gastroenterology

摘　　要：[目的]分析缺血性结肠炎的结肠镜及影像学检查特征。[方法]回顾性分析96例缺血性结肠炎患者的临床资料。[结果]结肠镜检查以脾曲、降结肠及乙状结肠为最易受累部位,大多表现为一过型。腹部CT检查以病变肠段的肠管壁增厚为主要表现,腹主动脉或肠系膜动脉硬化及斑块形成检出率(14.3%)远低于腹部血管B超检查(73.3%),二者比较差异有统计学意义(χ^(2)=51.3,P<0.01);右半结肠缺血患者住院日[(13.3±5.7)d]较无右半结肠缺血患者住院日[(9.5±3.4)d]更长,二者比较差异有统计学意义(t=-3.1,P<0.001)。[结论]临床工作中,尽早进行结肠镜、腹部CT及腹部B超等相关检查有助于早期诊断和治疗缺血性结肠炎,改善预后。[Objective]To analyze the colonoscopy and imaging features of ischemic colitis(IC).[Methods]Clinical data of 96 IC patients with definite diagnosis from January 2011 to June 2019 in our department and general surgery department were collected and analyzed retrospectively.[Results]The endoscopic findings showed that the colitis were predominately located in the splenic flexure,descending colon and sigmoid colon.Most colitis was transient.The main presentations of computed tomographic(CT)scan were segmental thickening of the colon wall during the course of the disease.The detection rate of CT on abdominal aortic or mesenteric arteriosclerosis and plaque formation was obviously lower than that of abdominal vascular ultrasound(14.3%∶7.3.3%,χ^(2)=51.3,P<0.01).The hospitalized time was longer in the patients with the bowel lesions locate in the right colon([13.3±5.7]d∶[9.5±3.4]d,t=-3.1,P<0.01).[Conclusion]Early colonoscopy and imaging examination can improve the diagnosis and clinical outcomes of IC.

关 键 词：结肠炎 结肠镜 影像学 临床特征 

分 类 号：R574.62[医药卫生—消化系统]