134例回盲部病变临床分析

发布时间：2019-01-26 15:14

【摘要】：目的探讨回盲部病变的临床特征及诊断治疗方案。方法收集2009年9月至2016年3月该院134例回盲部病变患者的一般资料、临床表现、影像学检查、结肠镜及病理检查和诊断等资料,采用回顾性分析方法,归纳其临床特征。结果共收集回盲部病变134例,其中回盲部癌36例(26.87%),炎症性肠病30例(包括溃疡性结肠炎和克罗恩病,22.39%),肠结核26例(19.40%)。其临床表现主要为腹痛、腹胀、腹泻、便血等。肠镜下主要表现为黏膜充血肿胀、红斑、糜烂、溃疡及肿块样新生物。良性疾病(除回盲部癌及淋巴瘤以外病例)以溃疡形成伴局部黏膜充血、肿胀为主,回盲部癌则以回盲部新生物多见。影像学检查以腹部CT为主,共93例(69.40%)行该检查。手术治疗49例,术前诊断错误7例,误诊率14.28%。结论回盲部病变总体以良性疾病为主,诊疗过程复杂,确诊困难,误诊率较高。
[Abstract]:Objective to investigate the clinical features and diagnosis and treatment of ileocecal lesions. Methods from September 2009 to March 2016, 134 patients with ileocecal lesions were collected. The clinical data, clinical manifestation, imaging examination, colonoscopy and pathological examination and diagnosis were collected, and their clinical features were summarized by retrospective analysis. Results 134 cases of ileocecal lesions were collected, including 36 cases of ileocecal carcinoma (26.87%), 30 cases of inflammatory bowel disease (including ulcerative colitis and Crohn's disease, 22.39%), 26 cases of intestinal tuberculosis (19.40%). The main clinical manifestations are abdominal pain, abdominal distension, diarrhea, blood stool and so on. The main manifestations of colonoscopy are congestion, swelling, erythema, erosion, ulcers and tumor-like neoplasm. Benign diseases (except ileocecal carcinoma and lymphoma) were mainly ulcer formation with local mucosal congestion and swelling, while ileocecal carcinoma was more common in ileocecal neoplasm. Abdominal CT was the main imaging examination, which was performed in 93 cases (69.40%). 49 cases were treated by operation, 7 cases were misdiagnosed before operation, the misdiagnosis rate was 14.28%. Conclusion the ileocecal lesions are mainly benign diseases, the diagnosis and treatment process is complicated, the diagnosis is difficult, and the misdiagnosis rate is high.
【作者单位】：重庆医科大学附属第二医院消化科;
【基金】：重庆市科学技术委员会科技事业发展基金资助项目(CSTC2015SHMSZX120047)
【分类号】：R57

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