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摘要


潰瘍性結腸炎(urcerative colitis)在東方人是一種少見的疾病,其診斷主要靠臨床、內視鏡、放射線和病理檢查間的配合,單靠X光檢查,其準確率可達90%左右。本院自民國60年到70年間,于腸胃科和直腸外科,經臨床和內視鏡診斷為潰瘍性結腸炎者共有18例,其中X光資料仍完整的,僅有16例,今分析其臨床,病理和X光檢查變化,並和國外文默相比,放射線檢查對於潰瘍性結腸炎之診斷,病變範圍,嚴重程度和治療追綜有很大的助益。

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並列摘要


Until now, ulcerative colitis is still a ”non specific” or ”idiopathic” entity. Its diagnosis depends on the exclusion of specific etiological agents and the evluation of a combination of clinical, proctosigmoidoscopic, roentgenological and pathlolgical findings. Though, there are 20-25% of patients could not be differentiated from other colitis, barium enema is still indicated in inflammatory colonic disease. Radiologic examination of the colon is not only for the diagnosis of the location, but also for the severity and possible complications of the disease. The early mucosal changes of ulcerstions in ulcerative colitis may not be detect by standard enema study, but can be demonstrated by the double contrast technique. Therefore double contrast barium enema is necessary to all the cases of ulcerative coitis. From 1971 to 1981, 18 cases of ulcerative colitis were collected in our hospital which were all clinically suspected with endscopic confirmation. Among these, only 16 cases have had complete radiologic data. Analysis with clinical symptoms, endoscopic, pathologic and radiographic findings was made. Comparison with the literatures, our findings were almost having the same opinions.

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