Matsumoto Satohiro, Tsuji Kenichiro, Shirahama Satoshi
Department of Internal Medicine, Kamigoto Hospital, 1549-11 Aokata-gou, Shinkamigoto-cho, Minamimatsuura-gun, Nagasaki 8574404, Japan.
World J Gastroenterol. 2007 Feb 28;13(8):1236-9. doi: 10.3748/wjg.v13.i8.1236.
To investigate the relationship among the presence of ulcer lesions, underlying disease, and clinical course in patients with ischemic colitis.
The subjects were 41 patients (10 male and 31 female; mean age 70 years) with ischemic colitis who were admitted to and received treatment in our hospital from 2000 to 2006. We compared their characteristics and analyzed the mean lengths of admission and fasting for 9 patients with ulcer lesions (ulcer group) and 32 without (non-ulcer group).
The groups with presence and absence of ulcer differed significantly only in white blood cell (WBC) count. Lengths of fasting and admission were 7.9 d and 17.9 d for the ulcer group and 4.4 d and 10.7 d for the non-ulcer group, respectively, and significantly longer in the ulcer group (P = 0.0057 and 0.0001). There was no correlation between presence of ulcer and presence of underlying diseases.
Lengths of fasting and admission were significantly longer in patients with ischemic colitis with ulcer than for those without ulcer.
探讨缺血性结肠炎患者溃疡病变的存在、基础疾病与临床病程之间的关系。
研究对象为2000年至2006年期间我院收治并接受治疗的41例缺血性结肠炎患者（男性10例，女性31例；平均年龄70岁）。我们比较了他们的特征，并分析了9例有溃疡病变患者（溃疡组）和32例无溃疡病变患者（非溃疡组）的平均住院时间和禁食时间。
有溃疡组和无溃疡组仅在白细胞（WBC）计数上有显著差异。溃疡组的禁食时间和住院时间分别为7.9天和17.9天，非溃疡组分别为4.4天和10.7天，溃疡组明显更长（P = 0.0057和0.0001）。溃疡的存在与基础疾病的存在之间无相关性。
有溃疡的缺血性结肠炎患者的禁食时间和住院时间明显长于无溃疡患者。
