联合治疗溃疡性结肠炎163例临床分析

Analysis of 163 patients combined therapy with ulcerative colitis.

目的探讨我国溃疡性结肠炎的临床特点和治疗情况。方法回顾性分析了笔者所在医院10年来诊治的163例uc。结果发现163例uC中，症状以腹泻（79．1％）和大便带血（84．7％）为主，严重并发症及结肠癌少见。病变部位和疾病严重程度关系密切．联合治疗仍为首选。结论充分利用结肠镜，传统的内科治疗仍可取得良好效果，对于某些严重和激素依赖病例，应尝试运用免疫抑制剂。

Objective In order to study the clinical features and therapeutic status of ulcerative colitis （ UC ）. Methods A retrospective analysis was performed in 163patients with UC diagnosed in past 10years. Results Diarrhea and bloody stools were the most common symptoms which were present in 79. 1% and 84. 7%. Serious complications and colon carcinoma were few in the cases. There was significant correlation in the extent of colonic involvement, the severity of illness and manifestations . Combination is still the preferred. Conclusion With colonoscopy, Conventional internal medicine therapy is effective and immunosuppressors should be considered in severe and GCS refractory cases.