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结肠憩室病临床特征的重新评估

Reappraisal of clinical features of diverticular disease of the colon.

作者信息

Parks T G

出版信息

Br Med J. 1969 Dec 13;4(5684):642-5. doi: 10.1136/bmj.4.5684.642.

DOI:10.1136/bmj.4.5684.642
PMID:5359918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1630188/
Abstract

In patients with diverticular disease of the colon factors which indicate a worse prognosis include widespread abdominal pain, nausea and vomiting, disturbed bowel habit, a palpable abdominal mass, abdominal distension, and any of the inflammatory complications. While radiology is of prime importance in the initial diagnosis, it is often impossible to differentiate between diverticulosis and diverticulitis. A more accurate distinction can be made by assessing all the available clinical, radiological, and pathological data, but again there are limitations and inaccuracies. The use of the term "diverticular disease" is preferable.

摘要

在患有结肠憩室病的患者中,提示预后较差的因素包括广泛的腹痛、恶心和呕吐、排便习惯改变、可触及的腹部肿块、腹胀以及任何炎症并发症。虽然放射学在初始诊断中至关重要,但通常无法区分憩室病和憩室炎。通过评估所有可用的临床、放射学和病理学数据可以做出更准确的区分,但同样存在局限性和不准确之处。使用“憩室病”这个术语更为可取。

相似文献

1
Reappraisal of clinical features of diverticular disease of the colon.结肠憩室病临床特征的重新评估
Br Med J. 1969 Dec 13;4(5684):642-5. doi: 10.1136/bmj.4.5684.642.
2
Limitations of radiology in the differentiation of diverticulitis and diverticulosis of the colon.放射学在鉴别结肠憩室炎和结肠憩室病方面的局限性。
Br Med J. 1970 Apr 18;2(5702):136-8. doi: 10.1136/bmj.2.5702.136.
3
A comparative study of the radiological and clinical findings in diverticular disease of the colon.
Gut. 1969 May;10(5):414-5.
4
Bleeding from diverticula of the colon.
Dis Colon Rectum. 1971 Nov-Dec;14(6):420-7. doi: 10.1007/BF02553463.
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[Diagnostic pitfalls of complicated colonic diverticulosis].[复杂性结肠憩室病的诊断陷阱]
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A double-blind study of radiologic accuracy in diverticulitis, diverticulosis, and carcinoma of the sigmoid colon.一项关于乙状结肠憩室炎、憩室病和癌放射学准确性的双盲研究。
J Clin Gastroenterol. 1979 Mar;1(1):55-66. doi: 10.1097/00004836-197903000-00008.
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Natural history of diverticular disease of the colon in young patients.年轻患者结肠憩室病的自然病史。
Am J Surg. 1973 Mar;125(3):308-11. doi: 10.1016/0002-9610(73)90047-0.
8
[Diverticulosis and diverticulitis in the elderly].[老年人的憩室病和憩室炎]
Fortschr Med. 1998 Mar 30;116(9):26-8, 30, 32-4.
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Natural history of diverticular disease of the colon. A review of 521 cases.结肠憩室病的自然史。521例病例回顾。
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[Colonic diverticulosis and hidden carcinoma].
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引用本文的文献

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Elective Surgery for Sigmoid Diverticulitis - Indications, Techniques, and Results.乙状结肠憩室炎的择期手术——适应证、技术及结果
Viszeralmedizin. 2015 Apr;31(2):112-6. doi: 10.1159/000381500. Epub 2015 Apr 9.
2
[Modern therapy of diverticular disease].[憩室病的现代治疗]
Internist (Berl). 2008 Dec;49(12):1415-6, 1418-20. doi: 10.1007/s00108-008-2150-8.
3
[Diverticulosis and diverticulitis].[憩室病与憩室炎]
Internist (Berl). 2005 Jun;46(6):671-83; quiz 684. doi: 10.1007/s00108-005-1403-z.
4
The pathogenesis of large bowel diverticula.大肠憩室的发病机制。
Ulster Med J. 1971 Winter;41(1):45-60.
5
High bulk diet for diverticular disease of the colon.高容积饮食用于结肠憩室病
West J Med. 1974 Apr;120(4):278-81.
6
[X-ray findings in diverticulitis (author's transl)].憩室炎的X线表现(作者译)
Langenbecks Arch Chir. 1976 Nov 15;342:421-30. doi: 10.1007/BF01267404.

本文引用的文献

1
Diverticulitis of the Colon.结肠憩室炎
Ann Surg. 1946 Oct;124(4):725-43.
2
Hemorrhage as a complication of diverticulitis.出血作为憩室炎的一种并发症。
Ann Surg. 1955 May;141(5):674-85. doi: 10.1097/00000658-195505000-00013.
3
The clinical significance of diverticulosis.憩室病的临床意义。
Gastroenterology. 1958 Dec;35(6):579-82.
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Association of cholelithiasis, hiatus hernia, and diverticulosis coli.
J Am Med Assoc. 1958 Sep 20;168(3):257-61. doi: 10.1001/jama.1958.03000030029007.
5
The significance of bleeding as a symptom in diverticulitis.出血作为憩室炎症状的意义。
Proc R Soc Med. 1956 Aug;49(8):577-9. doi: 10.1177/003591575604900811.
6
Methods of therapy in diverticulitis.
Surgery. 1956 Apr;39(4):712-24.
7
Saint's triad (hiatus hernia, gall stones and diverticulosis coli): the problem of properly directing surgical therapy.圣氏三联征(食管裂孔疝、胆结石和结肠憩室病):合理指导手术治疗的问题。
Am J Dig Dis. 1955 Nov;22(11):314-5. doi: 10.1007/BF02886494.
8
Bleeding as a complication of diverticulosis or diverticulitis of the colon.
Am Surg. 1953 May;19(5):397-402.