Retrospective Analysis Of The Clinical Datas Of The 41 Patients With Ileocecal Ulcer

Objective:Retrospective analysis of the clinical datas of the 41 patients with ileocecal ulcer,and disscuss the feature of ileocecal ulcer patients.Aimed at the back of ileocecal ulcerative disease pathological change to provide reference for the diagnosis and differential diagnosis.Methods:collect 2013.11-2015.5 months in our hospital medical center line digesting internal medicine endoscopic colonoscopy reeals back to ileocecal ulcerative case,summarized and analyzed their clinical,endoscopic and pathological features,treatment and follow-up,and compared the endoscopic morphology of Crohn’s diease and intestinal tuberculosis.Results:Abdominal pain is the most common in the clinical manifestations of the 41 patients with ileocecal ulcer. There were 18 cases of infectious colitis (43.9%), which showed neat or limited ulcers, most patients relived after treat ment. There were 10 cases of ulcer ative colitis (24.4%),multiple ulcers with diffuse involvement of the entire colon and continuous mucous membrane lesions were more common in ulcerativecolitis,and their symptoms relived when they were treated by Ai Disha and hormone; There were 9 cases of intestinal t uberculosis (22%), transverse ulcers and pseudopolyps were observed more frequently in patients with intestinal tuberculosis,five patients were diagnosed by colonos copy and histopathology, 3 patients supported the diagnos is after anti-tuberculosis treatment; There were 4 cases of Crohn’S disease (9.76%),longitudinal or irregular ulcers and cobblestone appearance were significantly more common in patients with Crohn’S disease,one pat ient was diagnosed by colonos copy and histopathology, 1 patient was followed up after treat ment and confirmed.There were 33 patients complished CT inspection,20 patients had positive found.In X-rayed inspection,2 patients found the fiber proliferative tuberculosis,to offer the evidence for intestinal tuberculosis.In 9 intestinal tuberculosis patients,there were 8 patients complished the T-spot inspection,6 patients had positive found. In 4 cases of Crohn’S disease,3 patients complished the IBD serological examination, two had positive found-Treated these 2 patients as Crohn’ S disease,the clinical manifestations became better.Conclusion:1.Ileocecal ulcerative disease detection of significantly increased,but diagnose rate is not high. Endoscopic check for combining pathology sex pathological changeieocecal 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 .The patients with ulcerative colitis was usually diagnosed by colonoscopy and histropathology. The patients within factious colitis relived after treatment,and their ileocecal ulcers were n eat or imited.Most of the patients with Crohn’s disease or intestinal tuberculosis were followed up afte rtest treatment and diagnosed, when afew of them were diagnosed by colonoscopy and histopathology.3.Longitudinal or irregular ulers,cobblestone appearance and strictures were more common in parients with Chrohn’s when transverse ulcers and pseudopolyps were more frequently observed in patients with imestinal tuberculosis.4.The diagnosis of ilencecal ulcer lesions rely mainly on histopathology and test treatment,especially intestinal tuberculosis and Crohn’s disease;it is necessary to find a specific serum or immunohistochemical indicator to differential diagnosis of ileocecal ulcer.