摘要
对经结肠镜、病理证实的 76例大肠多部位溃疡进行回顾性分析 ,探讨大肠多部位溃疡的病因诊断及诊断方法。方法 :采用Olympus电子结肠镜检查 ,内镜直视下溃疡边缘取活检 ,送病理 ,部分病例结合临床其它检查资料进行综合分析或诊断性治疗。结果 :76例中溃疡性结肠炎 5 5例、大肠结核 9例、结肠克罗恩(Crohn)病 7例、原发性大肠恶性淋巴瘤 2例、未能确诊 3例。结论 :大肠不同部位溃疡以溃疡性结肠炎为最常见的病因 ,对不典型部位溃疡应警惕大肠结核、结肠Crohn病、原发性大肠恶性淋巴瘤等少见病因。
Objective: To study the etiology and diagnosis of the multiplace colorectal ulcer, clinic analysis of 76 cases was performed. Methods: The patients were examined with Olympus video-colonoscopy. The analysis was according to the pathologic examination and diagnostic therapy materials. Results: The results showed that 55 cases were ulcerative colitis, 9 cases were colon tuberculosis, 7 cases were crohn's disease, 2 cases were primary colorectal malignant lymphoma (PCML), 3 cases are unknown. Conclusions: Ulcerative colitis is the most common cause of the multiplace colon ulcer, a non-typical ulcer may be colon tuberculosis, colon crohn's disease, and rare disease such as PCML.
出处
《中国内镜杂志》
CSCD
2001年第4期32-33,共2页
China Journal of Endoscopy
关键词
大肠多部位溃疡
病因学
诊断
Colorectal, Multiplace ulcer, Etiology, Diagnosis