48例缺血性结肠炎内镜及临床特点分析

Analysis of colonoscopic and clinical features of 48 patients with ischemic colitis

目的:探讨缺血性结肠炎(IC)的临床及内镜特征。方法:对本院的48例IC患者的临床资料进行回顾性分析。结果:本病好发于老年人,临床表现以腹痛、便血、腹泻"三联征"为主。结肠镜检查示病变主要发生在左半结肠,病变黏膜充血、水肿、糜烂、溃疡。积极内科治疗预后较好。结论:老年尤其是有血管硬化等基础疾病的患者,出现突发性腹痛、便血、腹泻,应考虑本病。结肠镜检查在该病的诊断中有重要作用。

Objective ：To investigate the clinical presentations,colonoscopic features of ischemic colitis. Methods： Retrospective analysis was used for 48 cases of ischemic colitis from April 1995 to April 2008 in our hospital. Results：Ischemie colitis was most common in the elderly. Clinical performances were abdominal pain, bloody stool and diarrhea. Colonoseopy showed lesions mainly occurred in the left colon, with mucosal congestion, edema,erosion,ulceration. Positive medical treatment meant good prognosis. Conclusion： Ischemic colitis should be considered for elderly patients ,who suferred from a sudden abdominal pain, bloody stool and diarrhea, especially those with basic diseases, such as vascular sclerosis. Colonoscopy is very important in accurate diagnosis of iscbemic colitis.