Potvliege M, Azagra J S, Clerckx L
Acta Chir Belg. 1984 Mar-Apr;84(2):109-12.
From july 1976 to july 1982, two groups of patients consisting of eleven peritonitis due to acute perforated diverticulitis, and five instrumental colonic perforations were treated in our department. None of the patients died in both groups. The relative infrequency, the important morbidity and the inaugural aspect of the perforation in the diverticular disease are in agreement with the literature. The ideal surgical attitude is still controversial. With the majority of the authors, we prefer the Hartmann's operation. The frequency of iatrogenic perforations is not negligible, and could increase in the future, with the development of endoscopic investigations. The morbidity is lower than in the first group, provided that the surgical treatment is applied early.
1976年7月至1982年7月，我科对两组患者进行了治疗，一组为11例急性穿孔性憩室炎所致腹膜炎患者，另一组为5例器械性结肠穿孔患者。两组患者均无死亡病例。憩室病穿孔的相对少见、严重发病率及首发情况与文献报道一致。理想的手术方式仍存在争议。与大多数作者一样，我们更倾向于哈特曼手术。医源性穿孔的发生率不可忽视，且随着内镜检查的发展，未来可能会增加。如果早期进行手术治疗，其发病率低于第一组。
