重症溃疡性结肠炎临床和病理分析

目的:对重症溃疡性结肠炎进行临床和病理分析并讨论其临床意义。方法:重症溃疡性结肠炎(UC)患者119例。采取肠外静脉补充足够的营养,完全胃肠道休息,治疗4周后进行结肠镜检查。结果:重症UC经过4周治疗后临床痊愈36例(39.3%),好转65例(54.6%),无效18例(15.1%),总有效率84.9%。初发型,复发型和持续型UC内镜下和组织学存在一定差异,但治疗总有效率明显差异。结论:初发型,复发型和持续型UC内镜下和组织学存在一定差异,肠外静脉高营养疗法是一种有效可行的方法。

Clinical analysis and hostological feature on severe ulcerative colitis

Objective:To study clinical analysis and histological features in patients with severe ulcerative colitis.Methods:The patients with severe ulcerative colitis(n=119)were finally diagnosised by fibercolonscopy,barium enema and histology.The disease processes were in initial(n=25),relapse(n=54)and continuing(n=40),Gastrointestinal tract rested completely during parenteral hyperalimentation and fibercolonscopy post-therapy.Results:There was a full cover from the illness(n=36),taking a turn for the better(n=65)and inefficiency(n=18),and the total effective rate were 84.9%.For disease processes in initial,relapse and continuing.Conclusions:There are difference of fibercolonscopy and histology for UC in initial,relapse and continuing.The parenteral hyperalimentation therapy is an effective therapy methed for patients with severe ulcerative colitis.