缺血性结肠炎临床特点分析

Clinical Analysis of Patients with Ischemic Colitis

目的探讨缺血性结肠炎的临床表现及内镜下特点以提高对本病的诊治水平。方法回顾分析我院收治的37例缺血性结肠炎患者的临床资料及内镜下表现。结果 31例患者年龄大于50岁,29例伴有高血压病、心血管疾病、糖尿病、便秘、腹部手术等基础疾病。临床上主要表现为急性起病、腹痛、腹泻及便血。结肠镜下表现为黏膜充血、水肿、糜烂、溃疡、增生性病变,病变黏膜与正常黏膜分界清楚,2例合并有肠腔狭窄。治疗后临床治愈率及缓解率为100%。结论缺血性结肠炎多发生在中老年人群,早期行结肠镜镜检查有助于诊断及治疗,提高治愈率。

Objective To analyze clinical and endoscope features of ischemic colitis（IC） and improve its diagnosis and treatmen.Methods 37 patients with Ischemic colitis in our hospital were retrospectively studied.Results 31 patients were over 50 years.29 cases were associated with the basic disease such as hypertensive disease,diabetes mellitus,cardiovascular disease,constipation and abdominal surgery.Ischemic colitis usually presented with sudden onset of abdominal pain,diarrhea and hematochezia.The colonoscopy feature showed mucosal congestion,edema,erosion,ulcers,hyperplasia,stenochoria and demarcated with normal areas.Conclusion Ischemic colitis mostly occurs in aged patients,early colonoscopy plays an important role in diagnosis and therapy of ischemic colitis.