186例溃疡性结肠炎结肠镜检查的评价和分析

Evaluation and analysis of colonoscopy in 186 cases of ulcerative colitis

目的探讨结肠镜结合活检组织学在溃疡性结肠炎(UC)诊断中的价值。方法回顾186例UC患者的临床资料。结果结肠镜的UC诊断率为90.1%。结肠镜下表现以黏膜充血、水肿伴糜烂及浅表溃疡最为多见占87%。病变分布在直、乙状结肠约占56.4%,临床分类以慢性复发型多见占65.6%,癌变1例占0.05%,中毒性巨结肠1例占0.05%。结论UC的结肠镜诊断和活检是主要方法,并有鉴别价值。

[Objective] To explore the diagnostic value of colonoscopy and histology in patients with ulcerative colitis （UC）. [Methods] Retrospective analysis was performed of clinical date in all cases. [Results] Erosions or Ulcers, together with hyperemia and edema of the mucosa are common appearances under colonoscopy. About 56.4% of all case were involved in rectum and sigmoid colon, Nearly 65% of the patients have a chronic intermittent disease process. The prevalence of both malignancy and complication is low. [Conclusions] Colonoscopy with biopsy is considered to be the major means of the diagnosis of UC.