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溃疡性结肠炎289例临床特征回顾性分析

别文华

临床误诊误治2016,Vol.29Issue(9):98-101,4.
临床误诊误治2016,Vol.29Issue(9):98-101,4.DOI:10.3969/j.issn.1002-3429.2016.09.036

溃疡性结肠炎289例临床特征回顾性分析

A Retrospective Analysis of Clinical Characteristics of 289 Patients with Ulcerative Colitis

别文华1

作者信息

  • 1. 431900 湖北 钟祥,钟祥市人民医院消化科
  • 折叠

摘要

Abstract

Objective To explore the clinical features of ulcerative colitis, so as to offer theoretical basis of the clini-cal diagnosis and treatment for ulcerative colitis. Methods 289 patients with ulcerative colitis from the People’ s Hospital of Zhongxiang between August 2010 and August 2014 were collected in this study. Clinical data was retrospectively analyzed, and the emphasis was on colonoscopy germane and pathological findings, then the relationships between scope of lesions, rach-milewitz endoscopic index, biopsy lesion classification and severity of disease were analyzed. Results 162 patients were male&nbsp;and 126 were female, male∶ female ratio is 1. 28∶ 1;30-49 years of age was considered to be the predilection age;diarrhea (234 cases, 80. 97%), abdominal pain (227 cases, 78. 55%), purulent bloody stool (169 cases, 58. 48%) were the most common clinical features;chronic recurrent type was observed in 205 cases (70. 93%) and initial type was observed in 84 ca-ses (29. 07%); disease involved proctitis was observed in 130 cases (44. 98%), left colitis was observed in 59 cases (20. 42%), extensive colitis was observed in 100 cases(34. 60%). The follow show that there was statistical difference be-tween scope of lesions, rachmilewitz endoscopic index, biopsy lesion classification and different severities of the disease ( P<0. 05) . Conclusion Predilection age in patients with ulcerative colitis is 30-49 years of age in males; the main clinical manifestations include diarrhea, abdominal pain and mucus purulent bloody stool, and the distribution of lesions is mostly rele-vant to proctitis, chronic recurrent type is the main type of lesions;the severity of the lesion is relevant to the extent of the dis-ease, the endoscopic index and biopsy lesion classification.

关键词

结肠炎,溃疡性/结肠镜检查/病理学,临床/回顾性研究

Key words

Colitis, ulcerative/Colonoscopy/Pathology, clinical/Retrospective study

分类

医药卫生

引用本文复制引用

别文华..溃疡性结肠炎289例临床特征回顾性分析[J].临床误诊误治,2016,29(9):98-101,4.

临床误诊误治

OACSTPCD

1002-3429

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