女性感染性结肠炎误诊为溃疡性结肠炎的原因分析

Analysis for the cause of ulcerative colitis colitis misdiagnosis of female infection

目的：通过对女性案例分析，总结感染性结肠炎（Infectious Colitis，IC）与溃疡性结肠炎（Colitis Gravis，CG）在临床诊断中的不同特点，探寻误诊原因。方法回顾分析在2010年1月-2014年6月初诊误诊为CG的39例IC女性患者的病史情况、主要症状、检验报告等基础资料，分析IC与CG在诊断中的特点差异，并探讨误诊原因。结果我院在重新分析患者的临床资料后，判定本组39例IC女性患者被误诊为CG，并对症治疗，患者均痊愈出院，随访疗效满意。结论不洁饮食史、上消化道不良反应以及中性粒炎性浸润等是IC在临床诊断中区别于CG的重要特点，因此要求医师在结肠炎患者的诊断过程中仔细分析患者的既往病史、临床症状，并根据病理活检的结果进行确诊，这样可明显降低IC的误诊率，在临床中值得借鉴。

objective Through female case analysis, summarizes theinfectious colitisand ulcerative colitis with different characteristics in clinical diagnosis, to explore the causes of misdiagnosis. Methods A retrospective analysis in 2010 January to 2014 year in June between the diagnosisfor history, 39 cases of female patients with IC CG of the mainsymptoms, test report and other basic data, analysis of the differencein the diagnosis of the characteristics of IC and CG, and to investigate the causes of misdiagnosis. results In our hospital in the reanalysis of the clinical data of patients, to determine the set of 39 female patients with IC misdiagnosed as CG, and symptomatic treatment, the patients were cured, the follow-up effect of satisfaction. conclusion The unclean diet history, upper gastrointestinal adverse reaction and neutrophilic inlfammatory infiltration are important characteristics of IC in clinical diagnosis as distinct from CG, thusrequiring physicians to analysis medical history, the clinical symptomcarefully in the diagnostic process colitis, and were diagnosedaccording to the pathological biopsy results, thus remarkably to reduce the misdiagnosis rate of IC, and is worthy of reference in clinical.