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[憩室病。临床表现、保守治疗、一级和二级预防]

[Diverticular disease. Clinical appearance, conservative treatment, primary and secondary prophylaxis].

作者信息

Leifeld Ludger, Kruis Wolfgang

机构信息

Medizinische Klinik 3 - Allgemeine Innere Medizin und Gastroenterologie, St Bernward Krankenhaus, Treibestr. 9, 31134, Hildesheim, Deutschland.

Medizinische Fakultät, Universität Köln, Köln, Deutschland.

出版信息

Chirurg. 2021 Aug;92(8):683-687. doi: 10.1007/s00104-021-01401-0. Epub 2021 Apr 14.

Abstract

Diverticula of the colon are very common and usually asymptomatic but 20% of people with diverticulosis develop symptoms and sometimes also complications, such as diverticulitis with abscesses or perforation and bleeding. In the long-term stenoses or a conglomerate can occur. The treatment depends on the type of diverticular disease, on the knowledge of risk indicators and imaging with sonography or computed tomography (CT). The uncomplicated diverticular disease is treated on an outpatient and conservative basis, while complicated diverticular disease is treated on an inpatient basis and often surgically.

摘要

结肠憩室非常常见,通常无症状,但20%的憩室病患者会出现症状,有时还会出现并发症,如伴有脓肿、穿孔或出血的憩室炎。长期来看可能会出现狭窄或形成包块。治疗取决于憩室病的类型、风险指标的了解情况以及超声或计算机断层扫描(CT)成像。非复杂性憩室病在门诊进行保守治疗,而复杂性憩室病则需住院治疗,且 often surgically (此处原文有误,推测可能是“often surgically treated”,意为“通常进行手术治疗”) 。

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