Binda G A, Saccomani G, Gramegna A
II Surgical Department, E. O. Ospedale Galliera-Genova, Italia.
Acta Chir Belg. 1993 Nov-Dec;93(6):253-7.
Colon diverticular disease is an increasingly frequent disorder especially in Western populations characterized by high living standards. In 30-40% of subjects over 60 years of age barium enema detects the presence of diverticula in the sigma. 10-20% of patients affected by colon diverticular disease develop complications such as inflammation or haemorrhage and 20-30% of these patients undergo surgery (60% of patients aged less than 40). Emergency surgery is performed in 50% of cases and it is currently burdened by high mortality rates. We decided to review our cases history to clarify the indication for emergency surgery, the appropriateness to resect the diseased bowel tract and to perform colic anastomosis at the time of emergency resection.
结肠憩室病是一种日益常见的疾病，尤其在生活水平较高的西方人群中。在60岁以上的人群中，30%-40%的人通过钡剂灌肠可检测到乙状结肠存在憩室。10%-20%的结肠憩室病患者会出现炎症或出血等并发症，其中20%-30%的患者需要接受手术（40岁以下患者中60%需要手术）。50%的病例需要进行急诊手术，目前该手术的死亡率较高。我们决定回顾我们的病例史，以明确急诊手术的指征、切除病变肠道的适宜性以及在急诊切除时进行结肠吻合的适宜性。
