缺血性结肠炎与溃疡性结肠炎临床表现及内镜特点的对比分析.docVIP

精品论文 参考文献 缺血性结肠炎与溃疡性结肠炎临床表现及内镜特点的对比分析 殷　锐 　　重庆市巴南区第二人民医院　重庆　巴南　４０００５４ 作者简介:殷锐,消化内科,主治医师 　　【摘要】　目的　对缺血性结肠炎与溃疡性结肠炎的临床表现即内镜特征进行对比分析.方法　选取我院收治的缺血性结肠炎患者与溃疡性结肠炎患者各２６例,患者的收治年限均在２０１３年４月~２０１５年５月之间,分别对两组患者的临床表现及内镜特点进行对比分析.缺血性结肠炎患者称之为缺血组,溃疡性结肠炎患者称之为溃疡组.结果　缺血性结肠炎患者与溃疡性结肠炎患者的平均年龄、平均病程一般资料存在明显的差异;合并基础疾病的缺血性结肠炎患者基础疾病发病率为６９．２３％(１８例),高于溃疡性结肠炎患者的１１．５４％(３例);缺血性结肠炎患者与溃疡性结肠炎患者在黏液血便、里急后重以及腹胀的临床症状以及体征表现上存在明显差异;缺血性结肠炎患者与溃疡性结肠炎患者在肠镜表现中黏膜糜烂与病变呈连续性的数据上存在差异.上述数据差异均具有统计学意义(即P＜０．０５).结论　一般资料、合并基础疾病、临床症状及体征、内镜表现对缺血性结肠炎与溃疡性结肠炎的临床诊断具有重要意义. 【关键词】　缺血性结肠炎;　溃疡性结肠炎;　临床表现;　内镜检查Comparativeanalysisofischemiccolitisandulcerativecolitisclinicalmanifestationsandendoscopiccharacteristics【Abstract】　Objective:Theclinicalmanifestationsofischemiccolitisandulcerativecolitis,namelyendoscopicspeciallevywereanalyzed．Methods:Patientsadmittedtoourhospitalpatientswithulcerativecolitisandischemiccolitis２６cases,thepatient＇sageweretreatedbetweenApril２０１３－ May２０１５,respectively,andclinicalmanifestationsofthetwogroupsofpatientseachendoscopicfeatureswereanalyzed．Ischemiccolitisiscalledischemiagroup,calledtheulcergrouppaＧtientswithulcerativecolitis．Results:Patientswithischemiccolitisandtheaverageageofpatientswithulcerativecolitis,theaveragedurationofthepresenceofsignificantdifferencesgeneralinformation;mergeunderlyingdiseasesinpatientswithunderlyingdiseasesofischemiccolitisincidenceof６９．２３％ (１８cases),highto１１．５４％ (３cases)patientswithulcerativecolitis;ischemiccolitisandulcerativecolitispatientstherearesignificantdifferencesinthebloodymucus,tenesmusandclinicalsignsandsymptomsofbloatingandperformance;ischemiccolitisPatientswithulcerativecolitiscolonoscopyperformanceinmucosalerosionandleＧsionsweredifferencesonthecontinuityofdata．Theabovedatadifferenceswerestatisticallysignificant(ie,P ＜０．０５)．Conclusion:GeneralInformation,mergeunder【lKyienygwdoirsdesas】es,clinicalsymptomsandsigns,endoscopicfindingshaveimportantimplicationsfortheclinicaldiagnosisofischemiccolitisandulcerativecolitis． 　Ischemiccolitis;　Ulcerativecolitis;　Clinicalmanife