结肠镜对放射性直肠炎的诊断价值分析

Diagnostic value of colonoscopy in radiation proctitis

目的探讨结肠镜对放射性直肠炎的诊断价值。方法回顾性分析2010年5月至2015年4月经结肠镜检查诊断的79例放射性直肠炎患者的临床资料。结果 79例患者发病部位均在直肠,其中有15例同时累及乙状结肠。结肠镜表现为不同程度的毛细血管扩张、黏膜充血、水肿、糜烂、溃疡、出血等,有7例出现肠腔狭窄。黏膜病变严重程度按Sherman分级:1级53例,2级19例,3级7例,4级0例。结论结肠镜检查对放射性直肠炎的明确诊断、指导治疗有重要作用。

Objective To investigate the diagnostic value of colonoscopy in radiation proctitis. Methods The clinical date of 79 patients with radiation proctitis who were diagnosed by colonoscopy in our hospical from May 2010 to April2015 were retrospectively analyzed. Results The invasive sites of 79 patients were all in the rectum,of which 15 patients were in the sigmoid colon meanwhile. The endoscopic findings showed different degrees of telangiectasias,mucosal hyperemia,edema,erosions,ulcerations,bleeding,et al. Four cases of strictures were found. According to the Sherman classification,mucosal damage were divided into： grade 1（ 53 cases）,grade 2（ 19 cases）,grade 3（ 7 cases）.grade 4（ 0 cases）. Conclusion Colonoscopy was useful for the diagnosis and guiding treatment of radiation proctitis.