CAJ | 학술논문

目的探讨缺血性结肠炎(IC)的临床表现及内镜特点,进一步提高对该病的认识.方法回顾性分析1999年6月至2009年8月52例IC患者的临床表现及内镜所见的相关资料.结果本组病例中,38例(73.08%)患有血管相关性疾病,临床表现主要为急性腹痛、腹泻、便血三联征.内镜所见:病变部位主要发生在乙状结肠35例(67.31%),病变范围4～35 cm.结论缺血性结肠炎急性发作时腹痛是其共同临床特点,内镜检查是诊断本病的有效方法.提高对该病的认识,特别是对伴有基础疾病者,应早期进行结肠镜检查,对尽快明确诊断有重要意义.
목적 탐토결혈성결장염(IC)적림상표현급내경특점,진일보제고대해병적인식.방법 회고성분석1999년6월지2009년8월52례IC환자적림상표현급내경소견적상관자료.결과 본조병례중,38례(73.08%)환유혈관상관성질병,림상표현주요위급성복통、복사、편혈삼련정.내경소견:병변부위주요발생재을상결장35례(67.31%),병변범위4～35 cm.결론 결혈성결장염급성발작시복통시기공동림상특점,내경검사시진단본병적유효방법.제고대해병적인식,특별시대반유기출질병자,응조기진행결장경검사,대진쾌명학진단유중요의의.
Objective To investigate clinical and endoscopic features of isehemic colitis(IC)to further enhance the awareness of the disease.Methods A retrospective analysis from June 1999 to August 2009,52of IC patients with clinical presentation and endoscopic findings were recorded and restrospectively analysed.Results Thirty-eight patients(73.08%)had vascular disease,with clinical manifestations of acute abdominal pain,diarrhea,blood in the stool and fever.Sigmoid colon lesions occurred in 35 cases(67.31%),lesions 4-30 cm.Condusions Abdominal pain is a clinical feature of acute ischemic colonic disease,endescoPy is an effective way to diagnose this disease,raise awareness of the disease,especially for those complicated with underlying diseases,and early colonoscopy are important for a definite diagnosis of IC.