Beckham Heath, Whitlow Charles B
Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana.
Clin Colon Rectal Surg. 2009 Aug;22(3):156-60. doi: 10.1055/s-0029-1236159.
The success of medical management for diverticular disease depends on the patient's presentation and degree of response to treatment. The patient's presentation can be grouped into categories using classification systems such as the modified Hinchey system. Clinical presentation and diagnostic studies help to group patients. Mild disease can often be managed with oral antibiotics as an outpatient; more severe disease requires hospitalization, bowel rest, and intravenous antibiotics. Interventions such as percutaneous drainage of associated abscesses may allow successful medical management. Probiotics and antiinflammatories may have a supportive role. Indications for elective resections are discussed.
憩室病药物治疗的成功取决于患者的表现及对治疗的反应程度。可使用改良欣奇系统等分类系统将患者表现进行分组。临床表现和诊断性检查有助于对患者进行分组。轻度疾病通常可在门诊使用口服抗生素治疗；较严重的疾病则需要住院、肠道休息及静脉使用抗生素。诸如对相关脓肿进行经皮引流等干预措施可能使药物治疗成功。益生菌和抗炎药可能起到辅助作用。文中还讨论了择期手术切除的指征。
