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结肠憩室病的统计学分析

Statistical analysis of diverticulosis of the colon.

作者信息

Narasaka T, Watanabe H, Yamagata S, Munakata A, Tajima T

出版信息

Tohoku J Exp Med. 1975 Mar;115(3):271-5. doi: 10.1620/tjem.115.271.

Abstract

Forty-four cases of diverticulosis of the colon were detected among 2,662 cases examined by barium enema in Tohoku University. This corresponds to 1.7% in frequency. On the other hand, 21 cases were found among 1,511 cases examined in Hirosaki University, giving 1.4% in frequency. It was more frequent in the male. The frequency, as calculated on the basis of the numbers of cases examined by barium enema in separate age groups, showed the gradual increase with age except for above the eighth decade. The location where the diverticulum was most frequently seen was the right colon; namely, cases in which the diverticulum occurred from the cecum to the ascending colon and those in which it was found only in the ascending colon occupied 61.4 and 71.4% of the total cases, respectively. Diverticulitis as a complication was rare, while coincidence of polyp or carcinoma was sometimes observed. Furthermore, the value of fiberscopy for the diagnosis of diverticulosis of the colon was discussed, and its usefulness for the detection of complication was emphasized.

摘要

在东北大学接受钡剂灌肠检查的2662例患者中,发现44例结肠憩室病,发病率为1.7%。另一方面,弘前大学在1511例检查中发现21例,发病率为1.4%。男性更为常见。根据各年龄组钡剂灌肠检查病例数计算的发病率显示,除80岁以上外,发病率随年龄逐渐增加。憩室最常出现的部位是右半结肠;即憩室发生于盲肠至升结肠的病例以及仅见于升结肠的病例分别占总病例数的61.4%和71.4%。作为并发症的憩室炎很少见,而有时会观察到息肉或癌的并存。此外,还讨论了纤维结肠镜检查对结肠憩室病诊断的价值,并强调了其对检测并发症的有用性。

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