【摘要】 目的总结结肠囊样积气症的内镜及临床特点,探讨其治疗方法与效果。方法收集青海省人民医院2000年5月至2008年5月确诊的14例结肠囊样积气症的相关资料,分析其内镜及临床特征。结果14例结肠囊样积气症患者以腹痛、腹胀、腹泻、便秘、便血为主要临床表现;结肠镜下均呈黏膜下多发大小不等圆形或椭圆形透明或半透明状隆起,质软,弹性感明显,部分表面充血糜烂;内镜超声在病灶处黏膜下层内可见多发和固定的线状或不规则形高回声区,其后伴声影;2例合并巨大息肉癌变和2例造成降结肠不全梗阻者均行外科手术,随访3～6年无复发。10例行高压氧与内镜下联合治疗,其中8例囊肿基本消失,2例部分消失,部分隆起病变缩小,临床症状明显缓解。结论结肠囊样积气症临床缺乏特异性,结肠镜是检出其的的主要方法,内镜超声具有确诊价值。对无严重合并症和并发症的结肠囊样积气症行高压氧与内镜下联合治疗是有效的。更多还原

【Abstract】 Objective:To sum up the clinical and endoscopic characteristic of pneumatosis coli,discuss the treatment and effect.Methods:We have collected 14 patients’ data of pneumatosis coli from May 2000 to May 2008 and analysed the endoscopic and clinical characteristic.Results:Among the patients,primary clinical situation were bellyache,diarrhea,astriction,abdomimal distention and gastrointestinal bleeding.Finding ienquality of size,rotundity or ellipse,transparent or translucent apophysis,soft,part of surface were congest and anabrosis in submucosal by colonoscope.10 patients were treated using hyperbaric oxygenation combined with endosccope.8 cystis almost disappeared,2 were partial,clinical symptoms obviously relieved.Conclusion:Pneumatosis coli is nonspecific.Colonoscope is the primary examined method.The endoscopic ultrasonography have definite diagnosis value.Combine hyperbaric oxygenation and endoscope to treat pneumatosis coli patients who have not severe complication is effective.更多还原