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结肠气囊肿症20例临床分析
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结肠气囊肿症20例临床分析
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Journal Article
结肠气囊肿症20例临床分析
2016
Overview
目的总结结肠气囊肿症的临床特点及诊治经验。方法对解放军总医院1995年6月-2015年6月收治的20例经结肠镜确诊的结肠气囊肿症患者的临床资料进行回顾性分析。结果 20例结肠气囊肿瘤患者中,男16例（80.0%）,女4例（20.0%）。主要临床表现为腹胀、腹泻、腹痛、黏液血便。确诊主要依靠结肠镜检及病理检查,1例行腹腔镜辅助下直肠癌切除术,1例行剖腹探查、乙状结肠穿孔修补术;5例行内镜下治疗;2例行药物＋高压氧治疗;7例单纯药物治疗;4例未做治疗。结论结肠气囊肿瘤诊断首选结肠镜,无症状者无需治疗。治疗主要包括氧疗、内镜下治疗和外科手术及治疗原发病,预后良好。
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