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[结肠憩室炎:伴有并发症的憩室炎及其治疗(作者译)]

[Colonic diverticulitis: diverticulitis with complications and its treatment (author's transl)].

作者信息

Kraft-Kinz J, Prexl H J

出版信息

Langenbecks Arch Chir. 1976 Nov 15;342:431-8. doi: 10.1007/BF01267405.

Abstract

Complications (stenosis, intestinal obstruction, abscess or fistula formation, inflammation, etc.) of colonic diverticulitis are seen in 35% of patients affected. Multiple operative procedures involve less risk than surgery performed in a single session. The mortality in emergency surgery is reported to be up to 40%, while subsequent resection of the diseased colon involves the usual mortality of surgery on the colon, i.e. 1.5-9%. The vital factor in this illness is the earliest possible surgical treatment of the diseased diverticulum, so that the extremely problematical complications can be avoided.

摘要

35%的结肠憩室炎患者会出现并发症(狭窄、肠梗阻、脓肿或瘘管形成、炎症等)。多次手术操作比单次手术的风险更低。据报道,急诊手术的死亡率高达40%,而后续对患病结肠进行切除手术的死亡率为结肠手术的常见死亡率,即1.5% - 9%。对于这种疾病,关键因素是尽早对患病憩室进行手术治疗,从而避免极其棘手的并发症。

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