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目的:探讨溃疡性结肠炎(UC)的临床特点、诊断及治疗,提高对本病的认识。方法:收集我院2005年9月~2010年8月间治疗的溃疡性结肠炎病例52例,总结其临床特点及诊治方案。结果:52例UC主要临床表现有黏液脓血便、腹泻、腹痛等,结肠镜检提示病变呈连续性、弥散性分布,以侵犯直肠,乙状结肠为主。治疗上根据病情轻重予柳氮磺胺吡啶和(或)激素治疗为主,缓解率高。结论:UC临床表现较典型,病变部位以直肠、乙状结肠多见,目前以内科治疗为主,个别危重症治疗无效者应尽早手术。
Objective: To investigate the clinical features, diagnosis and treatment of ulcerative colitis (UC) and to improve the understanding of this disease. Methods: 52 cases of ulcerative colitis treated in our hospital from September 2005 to August 2010 were collected, and their clinical features and diagnosis and treatment were summarized. Results: The main clinical manifestations of 52 cases were mucus pus and bloody stools, diarrhea and abdominal pain. The colonoscopy showed that the lesions were continuous and disseminated, mainly in the rectum and sigmoid colon. Treatment based on the severity of sulfasalazine and (or) hormone therapy, high remission rate. Conclusion: The clinical manifestations of UC are more typical. The lesion is more common in the rectum and sigmoid colon. At present, medical treatment is the main method. The treatment of some critically ill patients should be operated as soon as possible.