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目的探究内镜检查应用在缺血性结肠病中的临床诊断效果。方法回顾性分析22例缺血性结肠炎患者的基本临床资料以及内镜检查情况。结果 22例患者都进行结肠镜检查,其内镜表现为坏疽型1例,狭窄型3例,一过型18例;病理学特点为毛细血管扩张、黏膜充血、腺体结构遭到破坏以及炎性麦芽肿等。结论老年患者发生便血与急性腹痛时,应该排除缺血性结肠病的可能,在没有实施肠系膜动脉CT血管造影术(CTA)检查前,及时的进行内镜检查对于缺血性肠病的临床诊断具有至关重要的作用,在临床中值得广泛的推广应用。
Objective To investigate the clinical diagnostic results of endoscopy in ischemic colorectal disease. Methods A retrospective analysis of 22 cases of ischemic colitis in patients with basic clinical data and endoscopy. Results Twenty-two patients underwent colonoscopy. One patient had gangrenous endoderm, three had stenosis, and one had euthanasia. The pathological features were telangiectasia, mucosal hyperemia, destruction of the glandular structure and inflammation Sexual Hormone and other. Conclusions The diagnosis of ischemic colitis should be ruled out in patients with senile patients with hematochezia and acute abdominal pain. The clinical diagnosis of ischemic bowel disease by timely endoscopic examination without prior assessment of mesenteric artery CT angiography (CTA) Has a crucial role in the clinical application of a wide range of applications.