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目的探讨溃疡性结肠炎(UC)患者的临床及内镜下表现,以利对比患者的诊治。方法对96例UC患者临床及内镜资料进行回顾性分析。结果UC患者的主要症状和体征为黏液脓血便、腹痛、发热、里急后重、便秘和消瘦等。内镜下所见黏膜出血、水肿、血管网模糊、粗糙颗粒、质脆易出血、糜烂、溃疡、假性息肉和癌变等。结论临床症状尤其是结肠镜检查对UC的诊治有重要意义。结肠镜检查应列为UC的常规检查。
Objective To investigate the clinical and endoscopic findings of patients with ulcerative colitis (UC) to facilitate the diagnosis and treatment of patients with ulcerative colitis. Methods The clinical and endoscopic data of 96 patients with UC were retrospectively analyzed. Results The main symptoms and signs of UC patients were mucous pus and blood stool, abdominal pain, fever, tenesmus, constipation and weight loss. Endoscopic mucosal bleeding seen, edema, vascular network fuzzy, coarse particles, crisp easy bleeding, erosion, ulcers, pseudo-polyps and cancerous and so on. Conclusion Clinical symptoms, especially colonoscopy, are of great importance for the diagnosis and treatment of UC. Colonoscopy should be listed as a routine examination of UC.