【摘要】 目的　观察缺血性结肠炎的临床及内镜特征。方法　对 6 0例缺血性结肠炎病人的临床经过及内镜表现进行总结。结果　本病多发生于 5 0岁以上中老年人 (87% ) ,女性多见 (男∶女为 1∶2 ) ,且多数 (76 .7% )伴有可能相关的基础疾病 ,包括心脑血管疾病、糖尿病、血液病或腹腔手术史。早期内镜表现主要为结肠黏膜高度水肿、充血、出血、糜烂及溃疡。病变大多为一过型 ,如能早期诊断与治疗 ,多数预后良好。病变转归与发病年龄、病变程度及病程长短、伴随的基础疾病以及有无并发症可能相关。结论　结肠镜在诊断早期缺血性结肠炎中非常有用更多还原

【Abstract】 Objective To overview the clinical and endoscopic features of the ischemic colitis. Methods Retrospective analysis was conducted. Results Of the 60 cases, 87% were over 50 years, and females were more than males. 76.7% of the cases were associated with the basal diseases such as cardio cerebrovascular disorders, diabetes and hematological diseases as well as the history of abdominal operation. Colonoscopy showed mucosal edema, congestion, erosion and ulceration. 87.1% of the cases were cured after treatment and 16.7 % were improved. The outcome may be associated with the age, severity of the lesion, course, basal diseases and the complications. Conclusions Endoscopy plays a vital role in the early diagnosis of ischemic colitis.更多还原