缺血性结肠炎52例临床分析
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【摘要】目的分析缺血性结肠炎的临床特点。方法将52例缺血性结肠炎患者作为试验组纳入回顾性研究，并将57例溃疡性结肠炎患者作为对照组进行比较。结果与对照组比较显示，(1)试验组年龄较高,t=188；(2)试验组发病时间较短,t=214；(3)试验组里急后重和粘液脓血便者较少，而单纯血便者较多(P<005)；(4)结肠镜结果示，试验组病变与周围分界清楚，以纵型分布为主，且病变累及全周者较少；(5)病理结果示，试验组多有黏膜血管明显扩张充血及间质严重水肿；(6)试验组伴基础疾病者比例较高，χ2=1804。结论将患者年龄、症状体征、结肠镜、病理检查和基础病史相结合，有助于对缺血性结肠炎的诊断。
【关键词】缺血性结肠炎；溃疡性结肠炎；临床特点
Clinical features of 52 ischemic colitis patients XU Shui-ping.The Peoples Hospital of Shanwei,Shanwei 516600,China
【Abstract】ObjectiveTo analyse clinical features of ischemic colitis(IC) patients.Methods52 IC patients were involved in experimental group(EG),and 57 ulcerative colitis paients in control group(CG).ResultsCompared with CG,(1)Age was higher in EG，t=188；(2)Disease time was shorter in EG，t=214；(3)Tenesmus and mucopurulent bloody stool was less, and bloody stool was more in EG；(4)Boundary of lesions were clear, ulcerations were mainly longitudinal,and few lesions involved the whole perimeter in EG；(5)The histopathologic study revealed that,hyperaemia of vessel and severe edema of mucosa were common in EG；(6)EG tended to have history of basic diseases ......
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