112例溃疡性结肠炎的内镜和临床分析

回顾性分析过去13年经结肠镜检查并结合临床、活检符合溃疡性结肠炎(UC)诊断的112例结肠炎病例,占结肠镜检总数的3.01％。症状以腹泻(95.5％％)和腹痛(60.7％)为主,中毒性巨结肠和肠外表现少见。肠镜下糜烂和溃疡最多见(96.4％),其次是充血水肿、其它有质脆易出血、血管网模糊、粗糙颗粒感和假息肉。与病变范围广泛者相比,病变限制在直肠及乙状结肠的UC的病情轻、合并症和非典型增生少见。

Ulcerative Colitis Analysis of 112 Cases Clinical and Endosopic Characteristics

A retrospective analysis was performed in patients with ulccrativc colitis (UC) confirmed endoscopically and histologically. Daring past 13 years, 112 patients was diagnosed as UC, which account-ed for 3.01% of all colonscopy. The most Prominent clinical symptoms were diarrhea (95. 5%) and ab-dominal pain (60.7% ). The toxic megacolon and the extracolonic manifestation were few seen in UC pa-tients. The erosions or ulcers, focal hyperemias, and friability occurred in 96. 4% , 86. 6% and 63. 4% of patients, rcspectivelly, during colonoscopy. Compared to UC that inflammatory mucosal changes were in volved beyond the rectum and sigmoid colon, the distal UC (ulccrative proetitis or proctosigmoiditis) symp-toms are mild, and the complications and mucosal dysplasia are scarcely seen.