CAJ | 학술논문

目的：探讨缺血性结肠炎的临床特征及内镜表现，以提高对本病的认识，减少误诊、漏诊。方法对68例缺血性结肠炎患者的临床资料进行回顾性分析。其中，60岁以上的老年患者52例（占76．47％）。总结该病的临床特点、内镜和病理特征及诊治经过。结果60岁以上的老年患者多伴有高血压、糖尿病、冠心病、动脉粥样硬化等基础疾病。临床主要表现为突发腹痛、腹泻及便血，病变多位于左半结肠。一过型59例，狭窄型9例，无坏死型。病理学表现无特异性。结论缺血性结肠炎以老年人多见，多伴有基础疾病，及时行结肠镜及病理检查对本病的早期诊断具有重要意义。
목적：탐토결혈성결장염적림상특정급내경표현，이제고대본병적인식，감소오진、루진。방법대68례결혈성결장염환자적림상자료진행회고성분석。기중，60세이상적노년환자52례（점76．47％）。총결해병적림상특점、내경화병리특정급진치경과。결과60세이상적노년환자다반유고혈압、당뇨병、관심병、동맥죽양경화등기출질병。림상주요표현위돌발복통、복사급편혈，병변다위우좌반결장。일과형59례，협착형9례，무배사형。병이학표현무특이성。결론결혈성결장염이노년인다견，다반유기출질병，급시행결장경급병리검사대본병적조기진단구유중요의의。
Objective To analyze endoscope and clinical features of ischemic colitis (IC), to improve its diagnosis and treatment, and to lower the rates of missed and erroneous diagnosis .Methods 68 patients with ischemic colitis were retro-spectively reviewed for their clinical features , endoscopic findings , clinicopathological characteristics and treatments .Re-sults The majority of patients were over the age of 60 years.Most of the cases were associated with some underlying diseases such as hypertension , diabetes, coronary heart disease and atherosclerotic disease .Clinical symptoms associated with IC included sudden onset of left lower quadrant abdominal pain , hematochezia and diarrhea .The lesions were mainly located at left side colon with segmental form .In our studies , there were 59 cases with transient or reversible colitis , 9 cases with stricture colitis and no case with necrotic colitis .Conclusion Ischemic colitis mainly occurs in aged patients .Most of the cases were with basic diseases .Early colonoscopy with biopsy plays an important role in diagnosis of IC .Early diagnosis and proper therapy are vital for its prognosis .