【摘要】 目的探讨溃疡性结肠炎(UC)的临床特点。方法回顾性分析52例UC患者的临床资料。结果52例UC患者均经临床、钡剂灌肠和内镜及内镜下活检确诊,其中慢性复发型22例(42.3%)、初发型15例(22.8%)、急性暴发发型2例(3.8%)、慢性持续型13例(25.0%)。主要症状:腹痛41例(78.8%)、便血6例(11.5%)、腹泻9例(17.3%)、黏液脓血便43例(82.7%)、发热4例(7.7%)。按病情分为:轻型26例(50.0%)、中型16例(30.8%)、重型10例(19.2%)。病变范围:直肠型4例(7.7%)、直乙状结肠型14例(26.9%)、左半结肠型19例(36.5%)、右侧结肠型2例(3.8%)、全结肠型13例(25.0%)。肠外合并症5例(9.6%),并发症2例(3.8%)。不同病情患者的体温、血沉、白细胞、血红蛋白、α2免疫球蛋白等指标相比均有显著性差异(P<0.05或P<0.01)。内科治疗50例,大多数患者用柳氮磺胺吡啶(SASP)治疗有效。结论掌握UC的临床特点可正确地诊断与治疗该病。更多还原

【Abstract】 Objective To investigate clinical Characteristics of ulcerative colitis(UC). Methods Clinical data of 52 cases UC was analysed retrospectivety. Results Clinical,barium enema,enteroscopeand and biochemistry detection were used for diagnosing 52 cases with UC,chronical relapse 22 cases(42.3%),initial type 15 cases(22.8%),acute fulminating type 2 cases(3.8%),chronical persistence type 13 cases(25.0%). Present symptoms:abdominal pain 41 cases(78.8%),hemafecia 6 cases (11.5%),diarrhea 9 cases(17.3%),muco-bloody purulent stool 43 cases(82.7%),fever 4 cases(7.7%). State of illness:varmitis 26 cases(50.0%),medium-sized 16 cases(30.8%) and gravis type 10 cases(19.2%). Extent of disease:rectum type 4 cases(7.7%),vertical sigmoid colon type 14 cases(26.9%),left hemicolon type 19 cases(36.5%),right hemicolon type 2 cases(3.8%),pan-colon type 13 cases(25.0%). Complication of extra-bowels 5 cases(9.6%),complication 2 cases(3.8%). The different illness with body temperature,sedimentation rate,white blood cell,hemoglobin and α2 globulin were significant difference(P < 0.05 or P <0.01). Salicylazosulfapyridine was effective for most of the patients. Conclusion UC can be diagnosed and treated correctly by mastering its clinical specialities.更多还原