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目的:探讨缺血性结肠炎的临床特点及早期诊治方法。方法:回顾性分析2005年5月～2011年10月经临床和结肠镜确诊的27例缺血性结肠炎患者的临床资料,参照Marston分型标准进行分型和治疗。结果:27例中病变位于升结肠1例,横结肠2例,结肠脾区、横结肠5例,结肠脾曲、降结肠11例,降结肠、乙状结肠8例;其中一过性24例,狭窄性3例,经治疗于发病4周内症状消失,复查粪常规及潜血试验正常。结论:早期诊断是缺血性肠炎治疗的关键,结肠镜和影像学检查可明显提高确诊率,早期诊断和治疗可提高疗效,明显降低病死率。
Objective: To investigate the clinical features and early diagnosis and treatment of ischemic colitis. Methods: The clinical data of 27 patients with ischemic colitis confirmed by clinical and colonoscopy from May 2005 to October 2011 were retrospectively analyzed. The typing and treatment were performed according to the Marston classification criteria. Results: The lesions were located in 1 case of ascending colon, 2 cases of transverse colon, 5 cases of colon spleen, transverse colon, colon splenic flexion, descending colon in 11 cases, descending colon and sigmoid colon in 8 cases, including transient in 24 cases, stenosis 3 For example, the symptoms disappeared within 4 weeks of onset of treatment, review of normal fecal occult blood tests and normal. Conclusion: Early diagnosis is the key to the treatment of ischemic enteritis, colonoscopy and imaging examination can significantly improve the diagnosis rate, early diagnosis and treatment can improve the efficacy and significantly reduce the mortality.