目的：探讨回盲部病变的临床特点、结肠镜及病理检查表现。方法回顾性分析2009年10月至2014年10月进行诊断治疗的回盲部病变患者共80例的临床资料，分析临床特点及检查结果。结果通过结肠镜及病理活检及组织染色，确诊率81．3％，主要病变类型为回盲部黏膜炎性改变、回盲部肿瘤、回盲部憩室、克罗恩病、溃疡性结肠炎、回盲部息肉、回盲部溃疡（炎性）、回盲部淋巴滤泡增生、肠结核。回盲部黏膜炎性改变患者最多，年龄分布在17～81岁，女性患者中，以回盲部黏膜炎性改变居多，但差异无统计学意义（P ＞0．05），恶性淋巴瘤患者有胃肠道疾病史的占多数，差异有统计学意义（P ＜0．05），回盲部病变具有典型的结肠镜特征及组织病理学特征。结论回盲部病变具有一定的发病特征及趋势，通过结肠镜及病理活检，检出率较高，且具有较为典型的结肠镜及病理活检特征，为临床回盲部病变的诊断及鉴别提供参考依据。%ABSTRACT:Objective To investigate the clinical,coloscopic and pathologic characteristics of il-eocecal lesions and the identification application of colonoscopy.Methods General information and testing data were collected in 80 patients who were treated in our hospital from October 2009 to October 2014 for ileocecal lesions.Clinical characteristics and test results were retrospectively analyzed.Results Ileocecal lesions were confirmed by colonoscopy,biopsy and histological stai-ning in 81.3% of the 80 patients.The main lesions included mucosal inflammatory change,ileoce-cal tumor,ileocecal diverticulum,Crohn's disease,ulcerative colitis,ileocecal polyp,ileocecal ulcer-ation (inflammatory),lymph follicle hyperplasia,and intestinal tuberculosis.Mucosal inflammato-ry change was dominant among patients aged 17-81 years old,as well as among female patients. Among patients with malignant lymphoma,most patients had a history of gastrointestinal diseases (P <0.05).Ileocecal lesions showed typical coloscopic and pathologic features.Conclusion Ileo-cecal lesions have certain characteristics and trends,and show typical coloscopic and pathologic features.Therefore,the detection rate of ileocecal lesions can be increased by colonoscopy and bi-opsy,which provide a reference for clinical diagnosis and identification of ileocecal lesions.
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