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目的对缺血性肠病的临床诊断特征及早期内镜检查意义进行探讨。方法 26例确诊为缺血性结肠炎的患者,对其病症临床特点及内镜检查结果进行回顾性分析。结果缺血性肠病多发于50岁以上人群,特别是合并心脑血管疾病的患者危险性更高。早期内镜表现主要为一过型19例(73.1%),狭窄型5例(19.2%)及坏疽型2例(7.7%);病变部位主要为直肠、乙状结肠及降结肠脾曲等;病理特点主要为结肠黏膜高度水肿、腺体结构破坏等。结论急性腹痛、便血等症状均有可能与缺血性肠病有关,未行肠系膜动脉CTA检查前,早期内镜检查对缺血性肠病的临床诊断和治疗有重要意义。
Objective To investigate the clinical diagnosis features of ischemic bowel disease and the significance of early endoscopy. Methods Twenty - six patients diagnosed as ischemic colitis were retrospectively analyzed on their clinical features and endoscopic findings. The results of ischemic enteropathy in people over the age of 50, especially in patients with cardiovascular and cerebrovascular disease is more dangerous. Early endoscopic findings were mainly seen in 19 cases (73.1%), stenosis in 5 cases (19.2%) and gangrenous cases in 2 cases (7.7%). The pathological changes were mainly rectum, sigmoid colon and descending colon spleen, Mainly high degree of edema of the colon mucosa, glandular structure destruction. Conclusions Acute abdominal pain and blood in the stool may be related to ischemic bowel disease. Before endoscopic examination of early mesenteric artery CTA, it is of great significance to clinical diagnosis and treatment of ischemic bowel disease.