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目的:提高对初发型溃疡性结肠炎的诊断。方法:对郑州大学第二附属医院近5 a其他肠道疾病误诊为初发型溃疡性结肠炎的15例患者的临床资料进行回顾性分析。结果:误诊为初发型溃结的15例患者中后被确诊为细菌性痢疾5例,阿米巴肠炎2例,缺血性肠炎2例,嗜酸性结肠炎1例,结肠癌1例,肠结核1例,放射性肠炎1例,肠道白塞氏病1例,肠型紫癜1例。结论:初发型溃结临床极易误诊,应结合临床症状、实验室检查、肠镜及病理全面分析,必要时进一步随访。
Objective: To improve the diagnosis of primary ulcerative colitis. Methods: The clinical data of 15 patients misdiagnosed as primary ulcerative colitis in the Second Affiliated Hospital of Zhengzhou University during the past 5 years were retrospectively analyzed. Results: Of the 15 patients misdiagnosed with initial primary ulceration, 5 were diagnosed as bacillary dysentery, 2 as amoebicenteritis, 2 as ischemic enteritis, 1 as eosinophilic colitis, 1 as colon cancer, 1 as intestinal 1 case of tuberculosis, 1 case of radiation enteritis, 1 case of Behcet’s disease of intestine and 1 case of intestinal purpura. Conclusions: Initial onset ulceration is extremely easy to misdiagnosis, clinical symptoms, laboratory tests, comprehensive analysis of colonoscopy and pathology, further follow-up if necessary.