缺血性结肠炎70例内镜及临床特点

Endoscopic and Clinical Features of 70 Patients with Ischemic Colitis

目的总结缺血性结肠炎的内镜及临床特点,探讨其早期诊断方法。方法收集分析2001年1月～2006年12月,经临床、结肠镜确诊的70例缺血性结肠炎患者的相关资料,所有病例均在腹痛等症状出现后10天内行全结肠镜检查,部分病例取病变粘膜活检,观察其内镜下表现及病理组织学特点。结果经临床、结肠镜确诊为缺血性结肠炎者70例,其中男18例、女52例,男女之比为1∶2.89,年龄为45～90岁,平均年龄68.8岁,其中50岁以上68例。临床主要表现为腹痛和血便,病变多数位于左半结肠。一过型者69例,狭窄型1例,无坏疽型。病理学表现无特异性。结论早期结肠镜检是诊断缺血性结肠炎的主要方法。

Objective： To evaluate clinical and endoscopic characteristics of ischemic colitis （IC）, and to explore the methods for the early diagnosis of IC. Methods：70 patients diagnosed as IC in Hnadong Hospital from January 2000 to December 2006 were reviewed. All patients underwent colonoscopy within 10 days of symptoms, and 26 patients were biopsied dining colonoscopy. Results： Of the 70 cases（18 men and 52 women, average age 68.8 years otd, range 45-59）, 68 were over 50 years of age. IC usually presented with sudden onset of left lower quadrant abdominal pain, and hematochezia etc.Patients＇ lesions were most often onthe left colon. It consisted transient or reversible colitis in 69 cases, stricture colitis in I cases and no gangrene colitis was found Pathologic changes varied with the duration and severity of the injury. ConcIusion： Colonoscopy is the main method for the diagnosis Of IC. It should be performed in the early stage of the onset Of symptoms.