西藏高原地区肠气囊肿60例临床分析  

Clinical analysis of 60 patients with pneumatosis cystoides intestinalis in the Tibetan Plateau

作　　者：朱荣荣 旺加[2] Zhu Rongrong;Wang Jia(School of Medicine,Tibet University,Lhasa 850000,Tibet Autonomous Region,China;Department of Gastroenterology,Tibet Autonomous Region People's Hospital,Lhasa 850000,Tibet Autonomous Region,China)

机构地区：[1]西藏大学医学院,拉萨850000 [2]西藏自治区人民医院消化内科,拉萨850000

出　　处：《中国基层医药》2023年第6期847-850,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的分析西藏高原地区肠气囊肿(PCI)的临床特征,探讨该病的诊断及治疗方法。方法回顾性分析西藏自治区人民医院2014年1月至2021年7月确诊的PCI患者60例的病历资料,并进行描述性统计分析。结果60例PCI患者男女比例约为2.2∶1;发病年龄为(48.6±14.5)岁;居住海拔为(3832.3±399.8)米;以消化道症状为主要的就诊原因,20例患者伴有痔疮、慢性肝炎、胆囊结石等基础性疾病;59例患者通过内镜检查确诊PCI,1例患者通过手术确诊PCI,其中病变累及结肠者43例、小肠2例、十二指肠1例,其余14例患者因检查结果描述模糊,不能确定具体病变部位;大便隐血试验阳性2例,血红蛋白中位值156.0 g/L;49例予以高压氧舱、药物治疗、调整饮食结构等内科保守治疗,11例行手术治疗;随访43例患者临床症状缓解,17例患者失访。结论PCI在西藏高原地区相对常见,多见于男性,可发生于任何年龄段,临床表现不具特异性,病变最常累及结肠,主要依靠内镜检查来确诊,根据不同病因予以个体化治疗有助于改善PCI预后。Objective To analyze the clinical characteristics of pneumatosis cystoides intestinalis in the Tibet Plateau,and to explore the diagnosis and treatment method of this disease.Methods The medical records of 60 patients with confirmed pneumatosis cystoides intestinalis who were admitted to Tibet Autonomous Region People's Hospital from January 2014 to July 2021 were retrospectively analyzed.A descriptive statistical analysis was made.Results The male-to-female ratio of 60 patients with pneumatosis cystoides intestinalis was 2.2:1.The average age of onset was(48.6±14.5)years.The average living altitude was(3832.3±399.8)meters.All patients were admitted mainly because of gastrointestinal symptoms.Twenty patients had hemorrhoids,chronic hepatitis,and gallstones.Pneumatosis cystoides intestinalis was confirmed by endoscopic examination in 59 patients and by surgery in 1 patient.Among the patients,43 patients had lesions involving the colon,2 patients had lesions involving the small intestine,and 1 patient had lesions involving the duodenum.The specific lesion sites were not determined in the remaining 14 patients because of unclear descriptions of the examination results.Two patients were positive for fecal occult blood tests,with a median hemoglobin value of 156.0 g/L.Forty-nine patients were given hyperbaric oxygen therapy,medication,and diet adjustment.Eleven patients were treated surgically.Clinical symptoms were relieved in 43 patients,and 17 patients were lost to follow-up.Conclusion Pneumatosis cystoides intestinalis is relatively common in Tibet Plateau,and more common in men than in women.It occurs at any age.Clinical manifestations are not specific.The lesions most often involve the colon.The disease is mainly diagnosed by endoscopy.Individualized treatment based on different causes can help improve the prognosis of pneumatosis cystoides intestinalis.

关 键 词：肠壁囊样积气症 临床研究 诊断 治疗结果 预后 西藏[自治区] 

分 类 号：R574[医药卫生—消化系统]