缺血性结肠炎26例临床分析

Clinical Analysis on the Therapeutic Outcome in 26 Patients with Ischemic Colitis

为探讨缺血性结肠炎的临床表现及分型治疗．对26例缺血性结肠炎患者的临床表现、内镜检查、病理结果及治疗进行回顾性分析。结果显示，缺血性结肠炎好发于老年人，主要临床表现为突发性左侧腹痛、便血及腹泻。内镜检查可见病变部位多位于左半结肠，表现为结肠黏膜充血、坏死、糜烂及黏膜下出血，溃疡形成。采用扩张血管治疗效果良好。结果表明，老年人突发性左侧腹痛及便血时应警惕缺血性结肠炎的可能，及早进行结肠镜检查，早期治疗，对该病预后具有重要意义。

The objective of the study was to have a better understanding the clinical manifestations and type ＆ treatment of ischemic colitis（IC）. The clinical data of clinical manifestations, endoscopic findings, pathology examination and treatment of the 26 patients with IC were analyzed retrospectively. As results, IC occurred most frequently in elders,and the main clinical manifestations were sudden onset of left-side abdominal pain, bloody stool and diarrhea; endoscopic examination often revealed mucosal congestion, necrosis, erosion and submucosal hemorrhage, as well ulceration, usually on the left colon. Vasodilative therapy could result in better therapeutic outcome. It is concluded that sudden onset of left-side abdominal pain and bloody stool in senile patients often suggest the possibility of IC;timely colonoscopic examination and early treatment are important for a better prognosis.