CAJ | 학술논문

目的：探讨结肠镜检查在缺血性结肠炎诊断中的价值。方法回顾性分析2009年1月至2013年12月经结肠镜检查确诊缺血性结肠炎30例患者的临床及内镜资料,所有患者均在发病后72h 内行结肠镜检查,同时在病变部位取黏膜组织行病理检查。结果临床主要表现为腹痛、便血,80%患者病变部位位于左半结肠,内镜下表现为不同程度的充血水肿、糜烂及纵行溃疡,呈节段性分布,与正常黏膜界限清楚。10例患者行腹部 CT 检查,8例提示结肠节段性炎症改变；病理学检查无特异性。结论早期行结肠镜检查是诊断缺血性结肠炎的主要方法,CT 适用于缺血性结肠炎的初步筛查。
목적：탐토결장경검사재결혈성결장염진단중적개치。방법회고성분석2009년1월지2013년12월경결장경검사학진결혈성결장염30례환자적림상급내경자료,소유환자균재발병후72h 내행결장경검사,동시재병변부위취점막조직행병리검사。결과림상주요표현위복통、편혈,80%환자병변부위위우좌반결장,내경하표현위불동정도적충혈수종、미란급종행궤양,정절단성분포,여정상점막계한청초。10례환자행복부 CT 검사,8례제시결장절단성염증개변；병이학검사무특이성。결론조기행결장경검사시진단결혈성결장염적주요방법,CT 괄용우결혈성결장염적초보사사。
Objective To evaluate the value of colonoscopy in the diagnosis of ischemic colitis. Methods The clinic data of 30 patients diagnosed ischemic colitis from January 2009 to December 2013 were retrospectively reviewed. Results The clinical features of ischemic colitis were abdominal pain and hematochezia. Colonoscopic visualization of ischemic colitis included segmental erythema、erosion and longitudinal ulceration. The lesions were mainly located at left colon with segmenta1 form (80% , 24 / 30). Abdomen CT was performed in 10 patients, and segmental colon wall thickening was observed in 8 patients. Nonspecific inflammatory changes were identified in the biopsy. Conclusion Early colonoscopy plays an important role in the diagnosis of is-chemic colitis, and CT can be given as a screening procedure when diagnosis of ischemic colitis is suspected.