Raventos J M, Symmonds R E
Obstet Gynecol. 1981 Nov;58(5):557-65.
The incidence of diverticular disease of the colon has increased during the course of this century. The management of diverticulitis has changed in many centers from a conservative medical approach to a more aggressive surgical one. The surgical technique has also evolved; primary resection and anastomosis is currently preferred after a standard bowel preparation. The authors reviewed the medical histories of 387 women who had undergone abdominal operation for acute diverticulitis at the Mayo Clinic during a recent 8-year period. Of the 387 patients, 71 (18.3%) had presented with a pelvic mass and 84 (21.7%) had the operation performed by a gynecologic surgeon. The preoperative evaluation, type of operation, morbidity, and mortality in the entire group and in the group managed by a gynecologic surgeon were studied and compared.
在本世纪，结肠憩室病的发病率有所上升。在许多医疗中心，憩室炎的治疗方式已从保守的内科治疗转变为更积极的外科治疗。手术技术也不断发展；目前，在进行标准肠道准备后，首选一期切除吻合术。作者回顾了最近8年期间在梅奥诊所因急性憩室炎接受腹部手术的387名女性的病历。在这387例患者中，71例（18.3%）出现盆腔肿块，84例（21.7%）由妇科医生进行手术。对整个组以及由妇科医生治疗的组的术前评估、手术类型、发病率和死亡率进行了研究和比较。
