结肠肠气囊肿症患者的临床特征分析（附33例报告）

Clinical characteristic analysis of pneumatosis cystoides intestinalis of colon (33 cases)

摘要:

目的 浅析结肠肠气囊肿症（PCI）可能的病因、临床和内镜下特点，以及合适的治疗方法。方法 回顾性分析2017年5月－2022年3月该院消化内科确诊为PCI的33例患者的临床资料。结果 纳入的33例PCI患者中，男20例，女13例，年龄（56.58±11.69）岁；该病检出率为0.11%（33/30 833）。33例患者中，无症状者占30.30%（10/33），主要临床症状为：腹痛12例（36.36%），腹胀12例（36.36%），腹泻10例（30.30%），便秘5例（15.16%），便血5例（15.16%），体重减轻1例（3.03%），癌胚抗原（CEA）升高2例（6.06%）。21例单发气囊肿，12例多发气囊肿，两组年龄、性别、原发病、肠镜下合并其他内镜诊断、临床症状、气囊肿直径和肠段部位分布比较，差异均无统计学意义（P > 0.05）；而病变表面情况（光滑、红斑、糜烂）比较，差异有统计学意义（P < 0.05）。结论 PCI较罕见，临床表现不典型，内镜下微创治疗是有效的措施，多数患者预后良好。

Abstract:

Objective To analyze the possible etiology, clinical and endoscopic characteristics and appropriate treatment of pneumatosis cystoides intestinalis of colon.Methods Clinical data of 33 patients diagnosed with pneumocysts of colon from May 2017 to March 2022 were analyzed and summarized.Results 33 cases of colonic balloon cyst were included, including 20 males and 13 females, and the age was (56.58 ± 11.69) years; the detection rate of the disease: 0.11%. Asymptomatic patients accounted for 30.30% (10/33), and the main clinical symptoms were as follows: There were 12 cases of abdominal pain (36.36%), 12 cases of abdominal distension (36.36%), 10 cases of diarrhea (30.30%), 5 cases of constipation (15.16%), 5 cases of hematochezia (15.16%), 1 case of weight loss (3.03%), and 2 cases of Elevated CEA (6.06%). Compared with the 21 cases of single cyst and 12 cases of multiple cyst, there was no significant difference in age, gender, protopathy, combined with other endoscopic diagnosis under colonoscopy, clinical symptoms, diameter of cyst and distribution of intestinal segments (P > 0.05). There was a statistically significant difference in the surface condition (smooth, erythema, and erosion) of the lesions between 21 cases of single cyst and 12 cases of multiple cysts (P < 0.05).Conclusion Colonic pneumocysts are relatively rare in clinic, and their clinical manifestations are not typical. Minimally invasive treatment under endoscope is an effective treatment measure, and most of the disease has a good prognosis.