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目的 :探讨结肠镜检查对UC早期诊断的价值。方法 :回顾 86例UC患者的临床资料。结果 :及时诊断的病人多为初诊时即行肠镜检查。延误诊断的病人 37例 (43 .0 2 % )多为复诊时才肠镜检查 ,结肠镜检和组织学有特征表现。结论 :本组资料表明UC的首次就诊时未做肠镜者确诊率比较低 ,近年来随着肠镜的普及UC的诊断率不断提高 ,弥漫性充血、水肿、血管模糊、黏膜粗造、细颗粒状、无糜烂、溃疡或缓解期的表现 ,容易漏诊 ,肠镜检查时应该取活检 ,联合应用结肠镜检查与内镜下活检病理学检查对UC的诊断有重要意义 ,有时内镜下肉眼观察的“正常的黏膜”可能有病理性炎症 ,肠镜作为有下消化道症状的病人的常规的首选检查
Objective: To investigate the value of colonoscopy in the early diagnosis of UC. Methods: The clinical data of 86 patients with UC were reviewed. Results: Most of the patients diagnosed in time were colonoscopy. Delayed diagnosis of patients 37 cases (43.0%) were mostly colonoscopy colonoscopy, colonoscopy and histological features. Conclusion: This group of data shows that the first diagnosis of UC without colonoscopy in patients with a relatively low rate of diagnosis in recent years with the popularity of colonoscopy has been increasing the diagnostic rate of UC, diffuse congestion, edema, vasoconstriction, thick mucosa, fine Granuliform, non-erosive, ulcer or remission of performance, easy to misdiagnosis, colonoscopy should take biopsy, the combined application of colonoscopy and endoscopic biopsy pathological examination of UC is of great significance, and sometimes under the microscope endoscopy Observed “normal mucosa” may have pathological inflammation, colonoscopy as a routine preferential screening for patients with lower gastrointestinal symptoms