Kim Jae Hak, Cheon Jae Hee, Park Sooyoung, Kim Byung Chang, Lee Sang Kil, Kim Tae Il, Kim Won Ho
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hepatogastroenterology. 2008 May-Jun;55(84):983-6.
BACKGROUND/AIMS: To determine the clinical characteristics of acute diverticulitis in Korean patients with respect to the relationship between disease location and age, obesity, and complications.
The medical records of patients with acute diverticulitis who were treated at Severance Hospital in Korea between January 2000 and December 2006 were retrospectively analyzed.
A total of 70 patients were enrolled. Out of these, 53 (75.7%) cases of diverticulitis occurred in the right side of the colon and 17 cases (24.3%) in the left side of the colon. The mean age of patients with right-sided diverticulitis was significantly lower than that of patients with left-sided (p<0.01). Right-sided diverticulitis was more common than left-sided diverticulitis in obese patients (p<0.05); however, the overall complication rate was higher in left-sided than in right-sided diverticulitis (p<0.05). By multivariate analysis, age <40 years (p=0.025), body mass index > or =25kg/m2 (p=0.045), and abdominal rebound tenderness (p=0.011) were risk factors for acute right-sided rather than left-sided diverticulitis.
This study showed that acute colonic diverticulitis was more prevalent in the right side of the colon than the left side in Korean patients. Moreover, patients with right-sided diverticulitis were significantly younger, more obese, and had lower complication rates.
背景/目的：确定韩国急性憩室炎患者的临床特征，涉及疾病部位与年龄、肥胖及并发症之间的关系。
回顾性分析2000年1月至2006年12月在韩国Severance医院接受治疗的急性憩室炎患者的病历。
共纳入70例患者。其中，53例（75.7%）憩室炎发生在结肠右侧，17例（24.3%）发生在结肠左侧。右侧憩室炎患者的平均年龄显著低于左侧患者（p<0.01）。肥胖患者中右侧憩室炎比左侧更常见（p<0.05）；然而，左侧憩室炎的总体并发症发生率高于右侧（p<0.05）。多因素分析显示，年龄<40岁（p=0.025）、体重指数≥25kg/m²（p=0.045）和腹部反跳痛（p=0.011）是急性右侧而非左侧憩室炎的危险因素。
本研究表明，韩国患者中急性结肠憩室炎在结肠右侧比左侧更普遍。此外，右侧憩室炎患者明显更年轻、更肥胖，且并发症发生率更低。
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