溃疡性结肠炎的诊断与治疗幻灯片.pptVIP

溃疡性结肠炎的诊断与治疗 临床症状 常见：腹痛、发热(38?C)、腹泻、血便、 消瘦。 肠外表现：关节炎、口腔溃疡、强直性脊柱 炎（HLA-B27）、微型硬化性胆 管炎。 内镜检查及X线检查 内镜检查表现：中毒性巨结肠是内镜绝对 禁忌症 钡剂灌肠：铅管征、毛刺样改变、粘膜颗 粒粗糙 Ulcerative colitis in remissionFigure 4-2. Ulcerative colitis in remission. The normal vascular pattern is absent and a white scar indicates the site of a previous ulcer. Severe ulcerative colitisFigure 4-3. Severe ulcerative colitis. The mucosa shows extensive ulceration and diffuse thickening with an inflammatory infiltrate. In contrast to Crohn`s colitis, the ulceration lacks depth. Chronic ulcerative colitisFigure