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目的探讨缺血性结肠炎的临床表现及内镜下特点以提高对本病的诊治水平。方法回顾分析我院收治的37例缺血性结肠炎患者的临床资料及内镜下表现。结果 31例患者年龄大于50岁,29例伴有高血压病、心血管疾病、糖尿病、便秘、腹部手术等基础疾病。临床上主要表现为急性起病、腹痛、腹泻及便血。结肠镜下表现为黏膜充血、水肿、糜烂、溃疡、增生性病变,病变黏膜与正常黏膜分界清楚,2例合并有肠腔狭窄。治疗后临床治愈率及缓解率为100%。结论缺血性结肠炎多发生在中老年人群,早期行结肠镜镜检查有助于诊断及治疗,提高治愈率。
Objective To investigate the clinical manifestations and endoscopic features of ischemic colitis in order to improve the diagnosis and treatment of this disease. Methods The clinical data and endoscopic findings of 37 patients with ischemic colitis treated in our hospital were retrospectively analyzed. Results 31 patients were older than 50 years old, and 29 patients had underlying diseases such as hypertension, cardiovascular disease, diabetes, constipation and abdominal surgery. The main clinical manifestations of acute onset, abdominal pain, diarrhea and blood in the stool. Colonoscopy showed mucosal congestion, edema, erosion, ulceration, proliferative lesions, lesions mucosa and normal mucosa demarcation is clear, 2 cases with intestinal stricture. After treatment, the clinical cure rate and remission rate was 100%. Conclusions Ischemic colitis occurs mostly in the middle-aged and elderly people. Early colonoscopy helps to diagnose and treat, and improves the cure rate.