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目的探讨结肠镜对放射性直肠炎的诊断价值。方法回顾性分析2010年5月至2015年4月经结肠镜检查诊断的79例放射性直肠炎患者的临床资料。结果 79例患者发病部位均在直肠,其中有15例同时累及乙状结肠。结肠镜表现为不同程度的毛细血管扩张、黏膜充血、水肿、糜烂、溃疡、出血等,有7例出现肠腔狭窄。黏膜病变严重程度按Sherman分级:1级53例,2级19例,3级7例,4级0例。结论结肠镜检查对放射性直肠炎的明确诊断、指导治疗有重要作用。
Objective To investigate the diagnostic value of colonoscopy for radiation proctitis. Methods The clinical data of 79 patients with radiological proctitis diagnosed by colonoscopy from May 2010 to April 2015 were retrospectively analyzed. Results All the 79 cases were in the rectum, of which 15 cases involved the sigmoid colon at the same time. Colonoscopy showed varying degrees of telangiectasia, mucosal congestion, edema, erosion, ulcers, bleeding, etc., there were 7 cases of intestinal stenosis. The severity of mucosal lesions was classified according to Sherman’s classification: grade 1 in 53, grade 2 in 19, grade 3 in 7, and grade 4 in 0. Conclusion Colonoscopy plays an important role in the diagnosis and treatment of radiation proctitis.