Analysis Of Clinical Characteristics Of Several Colorectal Ulcerative Diseases:a Retrospective Study

Objective:To analyze and compare clinical characteristics of ulcerative colitis,Chron’s disease,inflammatory bowel disease unclassified,intestinal Behcet’s disease,intestinal tuberculosis and ischemic bowel disease,and explore correlation between disease and the clinical feature.Methods:We retrospectively analyzed clinical data of 265 patients admitted to the Second Hospital of Shanxi Medical University from December 2010 to October 2019.Results:The mean age of onset and male-to-female ratio was different between diseases.Abdominal pain was common among these diseases,diarrhea was common in ulcerative colitis(101,53.7%),inflammatory bowel disease unclassified(8,66.7%)and ischemic bowel disease(6,30.0%).Mucous or purulent bloody stools(121,64.4%)was the primary symptom of ulcerative colitis and hemafecia(16,80.0%)was secondary in ischemic bowel disease.Chronic gastritis was the most common comorbidity of these diseases except Chron’s disease.Alteration of intestinal flora was common in ulcerative colitis(26,13.8%)and inflammatory bowel disease unclassified(6,50.0%).The ileocecal area and entire colon were observed in all diseases,however,ileocecal area was common most in Chron’s disease(9,75%),inflammatory bowel disease unclassified(8,66.7%),intestinal Behcet’s disease(21,91.3%)and intestinal tuberculosis(10,100%).Rectum(99,52.7%)and extensive colon(9,45.0%)was predominant in ulcerative colitis and ischemic bowel disease,respectively.Solitary sigmoid colon(2,10.0%)was only observed in ischemic bowel disease.Conclusion:Although comorbidities are non-specific sometimes,there is a correlation between age of onset,gender,symptoms,lesion sites and the disease.It can be fulfilled to identify the cause of colorectal ulcer after comprehensively analyzing these clinical features.