回肠末端溃疡病变60例临床、内镜、病理分析

摘要

Objective:To investigate the clinical manifestations of the terminal ileum ulcer lesions,analysis of endoscopic and pathological characteristics of patients with terminal ileum ulcer,provide a reference value for clinical diagnosis ileal ulcer disease.Method:60 cases of patients from July 2014 to June 2015 in our hospital diagnosed as ileal ulcer disease,clinical manifestations were observed in 60 patients,60 patients with the implementation of electronic colonoscopy,and taken in 60 cases of patients with lesions biopsy for pathological examination,observed endoscopic and pathological findings of 60 patients. Result:60 patients clinical symptoms were abdominal pain,diarrhea,the endoscopic found of patients,mostly large flake ulcer,followed by irregular oval ulcers and a small area of the ulcer,32 cases of patients with other parts of the disease,include back mucosal erosion colitis,inflammation of the ileocecal valve wait.Pathological examination showed pathological types 60 patients,52 patients with non-specific inflammation of the mucous membranes, the proportion was 86.7%.Conclusion:Ileal ulcer disease lack the clinical realization typical, easily misdiagnosed occur on the terminal ileum ulcer lesions with endoscopic and pathological examination, may further clarify ileal ulcer disease clinical features.%目的：观察回肠末端溃疡病变患者的临床表现，分析回肠末端溃疡病变患者的内镜及病理特点，为临床诊断回肠末端溃疡病变提供参考价值。方法：选取2014年7月-2015年6月笔者所在医院确诊为回肠末端溃疡病变的60例患者，观察60例患者的临床表现，对60例患者实施电子肠镜检查，并在60例患者病变处取活检组织进行病理检查，观察60例患者的内镜表现和病理检查结果。结果：60例患者的临床症状主要表现为腹痛、腹泻等，患者的内镜表现多为大面积片状溃疡、不规则溃疡和小面积椭圆形溃疡，32例患者并发其他部分病变，包括回肠黏膜糜烂、结肠炎、回盲瓣炎等。病理检查结果显示，60例患者中52例患者的病理类型为黏膜非特异性炎症，所占比例为86.7%。结论：回肠末端溃疡病变患者的临床表现缺乏典型性，较易发生误诊，对回肠末端溃疡病变患者实施内镜和病理检查，可进一步明确回肠末端溃疡病变的临床特征。