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目的 探讨慢性腹泻进行结肠镜检查的临床意义。方法 对 5 83例因以慢性腹泻伴黏液便或黏液血便为主诉的患者进行结肠镜检查。结果 慢性结肠炎 32 4例 ( 5 5 .6 % ) ,溃疡性结肠炎 10 6例 ( 18.2 % ) ,大肠癌 6 7例( 11.5 % ) ,大肠息肉 5 9例 ( 10 .1% ) ,肠黏膜正常 16例 ( 2 .7% ) ,肠结核、鞭虫感染、末端盲肠炎各 3例 ( 0 .5 % ) ,克隆病 2例 ( 0 .3 % )。在 6 7例肠癌中青年组 33例 ( 4 9.2 % ) ,中老年组 34例 ( 5 0 .7% )。结论 慢性腹泻进行结肠镜检查是一可行、安全、有效、省时的方法 ,能明确诊断其部位、肿瘤大小、性质、避免误诊 ,明显减少结肠癌的发病率和病死率 ,具有重要的诊断价值
Objective To investigate the clinical significance of colonoscopy in chronic diarrhea. Methods A total of 5383 colonoscopy patients underwent chronic diarrhea with mucus or mucus bloody stools. Results Chronic colitis was 32 4 cases (55.6%), ulcerative colitis 106 cases (18.2%), colorectal cancer 6 7 cases (11.5%), colorectal polyps 5 9 cases (10.1% Mucosa was normal in 16 cases (2.7%), intestinal tuberculosis, whipworm infection, terminal appendicitis in 3 cases (0.5%), Crohn’s disease in 2 cases (0.3%). Among 67 cases of colorectal cancer, 33 cases were young (4 9.2%) and 34 cases were middle-aged and elderly (50.7%). Conclusion Chronic diarrhea colonoscopy is a feasible, safe, effective and time-saving method that can diagnose its location, tumor size and nature, avoid misdiagnosis, significantly reduce the incidence and mortality of colon cancer, which has important diagnostic value