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目的探讨溃疡性结肠炎(UC)的临床特点、镜下表现和实验室检查指标。方法回顾性地对2009年1月至2010年12月住院患者64例UC患者进行内镜及临床分析。结果 64例住院病例中,男女之比为1.76:1,平均发病年龄44.7岁,高峰年龄段为20~60岁。主要临床表现为腹泻、粘液血便、腹痛。大肠镜检查以黏膜充血、糜烂、溃疡为主要表现。病变范围以侵犯直肠及乙状最多,主要予SASP/5-ASA及糖皮质激素治疗。结论 UC的诊断主要依据临床症状和结肠镜表现,实验室检查有助于明确UC严重程度。
Objective To investigate the clinical features, microscopic findings and laboratory tests of ulcerative colitis (UC). Methods The clinical data of 64 UC patients hospitalized in our hospital from January 2009 to December 2010 were analyzed retrospectively. Results Among the 64 inpatients, the ratio of men to women was 1.76: 1, with an average age of 44.7 years and a peak age of 20-60 years. The main clinical manifestations of diarrhea, mucus bloody stool, abdominal pain. Colonoscopy to mucosal hyperemia, erosion, ulcers as the main performance. Lesions to violations of the rectum and sigmoid up to SASP / 5-ASA and glucocorticoid treatment. Conclusions The diagnosis of UC is mainly based on clinical symptoms and colonoscopic findings. Laboratory tests can help clarify the severity of UC.