CAJ | 학술논문

目的：观察缺血性结肠炎(Ischemic colitis,IC)的临床特征及转归情况。方法回顾性分析39例IC患者的临床资料及内镜特征,并对其进行随访。结果IC好发于中老年人,60岁以上患者占69.2%,多伴有相关基础疾病(82.1%,32/39),包括高血压、心脑血管疾病及糖尿病等。临床主要表现为腹痛、便血等症状,病变多发生于左半结肠,呈节段性分布。多数患者预后良好,39例患者中5.1%(2/39)于住院期间死亡,1例患者于随访期间出现复发。结论结肠镜检查是诊断早期IC的主要方法,IC复发率低。
목적：관찰결혈성결장염(Ischemic colitis,IC)적림상특정급전귀정황。방법회고성분석39례IC환자적림상자료급내경특정,병대기진행수방。결과IC호발우중노년인,60세이상환자점69.2%,다반유상관기출질병(82.1%,32/39),포괄고혈압、심뇌혈관질병급당뇨병등。림상주요표현위복통、편혈등증상,병변다발생우좌반결장,정절단성분포。다수환자예후량호,39례환자중5.1%(2/39)우주원기간사망,1례환자우수방기간출현복발。결론결장경검사시진단조기IC적주요방법,IC복발솔저。
Objective To observe the clinical features and outcome of ischemic colitis (IC). Methods A retrospective analysis of the clinical data and endoscopic findings of 39 patients with IC was conducted. And the patients were followed up. Results Ischemic colitis usually occurs in elderly patients. Of the 39 cases, 69.2%were over 60 years. 82.1% (32/39) of the cases were associated with the basal diseases such as hypertension, cardio-cerebrovascular disorders, diabetes, etc. The common features included ab-dominal pain and hematochezia. Colonoscopy showed the lesions located mainly in left colon with segmental form. The prognosis was good in most cases. For the 39 patients included in the study, in-hospital mortality was 5.1%(2/39). Recurrent IC occurred in only 1 patient during the follow-up. Conclusion Colonoscopy is the main method for the early diagnosis of IC. The recurrence rate of IC is low.