【摘要】 目的回顾性探讨昆明市近10年来溃疡性结肠炎(UC)住院患者内镜表现。方法选取昆明市1998年1月～2009年3月期间7家大型综合医院379例住院的炎症性肠病患者作为调查对象,诊断均符合2007年中华医学会消化病学分会的UC诊治标准,分析UC患者内镜下表现。结果有98.2%的病例接受结肠镜检查,其诊断符合率为88.4%。100%为活动期,其中轻度38.3%,中度42.2%,重度19.5%。分型如下:直肠型者13.2%,直肠和乙状结肠型26.9%,左半结肠型34.9%,右半结肠型3.2%,全结肠型21.7%。内镜下表现病变呈弥漫性分布90.50%,充血水肿86.20%,糜烂或溃疡76.90%,活动性出血60%,脓性分泌物25%,假性息肉18%。结论昆明市UC患者的病期以中度为主,病变范围以左半结肠型和直肠和乙状结肠型为主,以弥漫性分布、充血水肿、糜烂或溃疡为主要表现。更多还原

【Abstract】 Objective To understand the colonoscopy characteristics of hospitalized patients with ulcerative colitis ( UC) in Kunming,we had retrospectively analyzed in patients with UC in the recent 10 years in Kunming. Methods The detail data of 379 cases of UC were obtained from seven large general hospital of Kunming from January of 1998 to March of 2010 which are consistent with UC diagnostic and treatment criteria established in the digestion disease institute branch conference of China in 2007. The colonoscopy characteristics in UC patients are analyzed. Results The colonoscopy state: The ratio of colonoscopy in 379 cases was 98. 2% . The diagnose accordance rate of colonoscopy was 88. 4% . The disease stage of active was 100% ,in which mild,midst and heavy in the state of an illness was 38. 3% ,42. 2% ,19. 5% ,respectively. The state of disease was 13. 2% in rectum,26. 9% in rectum-sigmoid colon,34. 9% in left hemicolon,3. 2% in right hemicolon,21. 7% in whole colon. The colonoscopy manifest diseased region is diffusion 90. 50% ,hyperemia edema 86. 20% ,erosion or ulcer 76. 90% ,active bleeding 60% ,purulent secretion 25% ,false polyps 18% . Conclusion The main disease stage of UC is active. The key state of an illness of UC is mild and midist. The main diseased region is recto-sigmoid colon and left henicolon. The main manifest of colonoscopy is erosion or ulcer,diffusion and hyperemia edema.更多还原