The Distinction Analysis Of Ileocecal Ulcerative Patient's Clinical And Colonoscopy And Pathology Examination

Objectives:Review analysis the ileocecal ulcerative patient's hospitalized datas.Disxuss the ileocecal ulcerative patient's feature in recent years. Aimed at the back of ileocecal ulcerative disease sex pathological change to provide reference for the diagnosis and differential diagnosis.we hoped imprive the disease cognition and treatment have a certain help.Methords:Collect 2009.01～2010.06 months in our hospital medical center line dige sting internal medicine endoscopic colonoscopy reeals back to ileocecal ulcerative case Combined with clinicalmanifestations,endosco-py and pathologic examination on diag nosed patients to ileocecal ulcerative cases differential diagnosis. Focuses on back to ile ocecal ulcerative ative diseases such as tuberculosis, crohn's disease, ulcerative colitis, malignant lymphoma, colorectal cancer (ulcer type) of endoscopic and pathology in the differential diagnosis. Using SPSS 13.0 standardized database statistics processing.Result:1.3136 cases of endoscopic check, found back to ileocecal ulcerative case sex patholo gical change with 123, after colonoscopy combined with pathology examination diag nosis 76 cases, accounting for 61.8%. Diagnosed with unexplained ulcer person 47 patients accounted for 38.2%.2. Diagnosis cases, form back to the main ileocecal ulcerative disease have ulcerative colitis 22 cases accounted for 17.8%(more for whole colitis involving back to blind department), crohn's disease 16 cases accounted for 13%, tuberculosis of 8 cases of 6.5 %,3 cases of malignant lymphoma 2.4%(ulcer type), and colorectal cancer 7 cases of 5.69%(ulcer type), etc.3. Back to ileocecal ulcerative lesions of clinical manifestations in different diseases caused by the back blind department ulcer did not differ significantly.4. Endoscopic and pathologic biopsy is diagnostic back to ileocecal ulcerative ative disease mainly means. In the endoscopic ulcerative colitis diagnose rate for 68.2%, crohn's disease diagnose rate for 37.5%of the tuberculosis, diagnose rate for 12.5%of malignant lymphoma, diagnose rate for 0%, colorectal cancer diagnose rate for 71.4%. Histopathological results show that fossae abscess in ulcerative colitis (54.5%) principle. Pure epithelioid nodule (31.3%) and lymphocyte gathered (37.5%) in cloning grace disease. Epithelioid nodule (37.5%) and caseating necrosis (25%) for diagnosis of tuberculosis of significance. And malignant lymphoma more visible to the alien lymphocyte (33.3%), colorectal cancer more see alien epithelium (100%).5. Endoscopic biopsy was pathology of combination of ulcerative colitis diagnose rate for 81.8%, crohn's disease diagnosis rate for the 43.75%, tuberculosis, diagnose rate for 37.5% of malignant lymphoma, diagnose rate for 33.3%of colorectal cancer diagnose rate for 100%.6 Ulcerative colitis and Intestinal tuberculosis give priority to simplicity medicine treat. Crohn's disease sevene exampie take in medicine treat and three exampie accept operation treat. Colorectal cancer and malignant lymphoma have ten instance,give right half colon excision skill five instance.Combine other organs excision have two instance,three later period patients give right half colon excision skill that have two instance died.Conclusions:1. Ileocecal ulcerative disease detection of significantly increased, but diagnose rate is not high. Endoscopic check for combining pathology sex pathological change ieocecal ulcerative disease has important value of differential diagnosis, Endoscopic and endoscopic biopsy ulcerative colitis, for colorectal cancer (ulcer type) diagnostic value is higher. But for tuberculosis, crohn's disease, malignant lymphoma diagnosis and differential diagnosis is difficult.2. Back to ileocecal ulcerative lesions of clinical manifestations in different diseases caused by the back blind department ulcer did not differ significantly. Endoscopic appearance typical morphology change to return when the etiology of ileocecal ulcerative disease diagnosed with tip role. Endoscopic biopsy appear typical histopathological shape on the back of ileocecal ulcerative disease pathological change etiological diagnosis meaning, diagnosis,But endoscopic biopsy of the disease, and histopathological examination confirmed significance is limited.3. Take a high degree pay attention to strengthen ulcerative colitis and crohn's disease instruct and follows works,told the necessary of long time take mdicine...