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目的比较缺血性结肠炎(IC)与溃疡性结肠炎(UC)临床及内镜表现的差异,研究对两者的鉴别以利对其的诊断和治疗。方法回顾分析2007年1月~2010年8月诊断为IC 30例和UC 40例患者的资料,重点分析两者在年龄分布、性别构成、病程、基础疾患、临床和内镜表现及病理诊断的异同点。结果 IC组和UC组在年龄分布、病程、基础疾患及临床表现上差异显著,两组比较,差异有统计学意义,P<0.01。两组内镜表现在溃疡形成、黏膜新鲜出血及病变分界等方面,差异有统计学意义,P<0.01。而组织病理学方面,无显著差异。结论结合病史综合分析患者临床特征、内镜下表现等差异,为IC和UC的鉴别可提供有力依据。
Objective To compare the clinical and endoscopic manifestations of ischemic colitis (IC) and ulcerative colitis (UC) and to identify the two for the benefit of their diagnosis and treatment. Methods The data of 30 patients with IC and 40 patients with UC diagnosed from January 2007 to August 2010 were retrospectively analyzed. The data were analyzed in terms of age distribution, sex composition, course of disease, underlying diseases, clinical and endoscopic findings and pathological diagnosis Similarities and differences. Results There were significant differences in age distribution, disease course, underlying diseases and clinical manifestations between IC group and UC group. There was significant difference between the two groups (P <0.01). The two groups of endoscopic performance in the formation of ulcers, mucosal fresh bleeding and disease demarcation, the difference was statistically significant, P <0.01. Histopathology, no significant difference. Conclusion Combined with the history of patients with clinical features, endoscopic findings and other differences for the identification of IC and UC can provide a strong basis.