Emanuelson Ryan, Sceats Lindsay, Menon Raman, Hawkins Melinda
Department of Surgery, Swedish Medical Center, Swedish Hospital, Seattle, Washington, USA.
Department of Colon and Rectal Surgery, Swedish Medical Center, Swedish Colon and Rectal Clinic, 1101 Madison Suite 510, Seattle, WA 98104, USA.
Surg Clin North Am. 2026 Feb;106(1):93-101. doi: 10.1016/j.suc.2025.08.009. Epub 2025 Sep 16.
Our approach to the diagnosis and treatment of diverticulitis has evolved over the past 20 y. Routine use of antibiotics has decreased with recent studies suggesting simple cases of diverticulitis can be selectively managed without antibiotics. The criteria necessitating surgical intervention have also been amended as our understanding of the natural history of diverticulitis has grown. We favor selective use of antibiotics, percutaneous drainage, and surgery depending on the severity of the disease, patient factors, and clinical context.
在过去20年里，我们对憩室炎的诊断和治疗方法不断演变。随着近期研究表明单纯性憩室炎病例可在无抗生素情况下进行选择性处理，抗生素的常规使用已减少。随着我们对憩室炎自然病程认识的加深，需要手术干预的标准也已修订。我们主张根据疾病严重程度、患者因素和临床情况选择性使用抗生素、经皮引流和手术。
