Vorob'ev G I, Salamov K N, Nasyrina T A, Orekhov O O, Achkasov S I
Khirurgiia (Mosk). 1993 Oct(10):46-53.
The authors had 662 patients with diverticulosis of the colon under observation. Nonoperative treatment for clinically manifested diverticulosis was undertaken in 226 patients. A good effect was produced in 82.2% of them. An operative intervention was conducted on 146 patients. The indication for operation was clinically manifested diverticulosis in the absence of an effect of nonoperative management in 19 (13%) patients and complicated diverticulosis in 62 (41.3%) patients. Various types of reconstructive-restorative operations in many-stage treatment of diverticulosis of the colon were conducted in 64 (43.8%) patients. Postoperative complications were encountered in 29 (19.7%) patients. Ten (6.8%) patients died. The authors conclude that the choice of the volume and method of operation should be guided by the patient's general condition, the character of the developing complications, the spread of the diverticuli along the colon, and the existence or absence of signs of an inflammatory process in the diverticuli.
作者对662例结肠憩室病患者进行了观察。226例临床表现为憩室病的患者接受了非手术治疗。其中82.2%取得了良好效果。146例患者接受了手术干预。手术指征为19例(13%)非手术治疗无效的临床表现为憩室病的患者以及62例(41.3%)并发憩室病的患者。64例(43.8%)患者在结肠憩室病的多阶段治疗中接受了各种类型的重建修复手术。29例(19.7%)患者出现了术后并发症。10例(6.8%)患者死亡。作者得出结论,手术的范围和方法的选择应根据患者的一般状况、并发症的发展特点、憩室沿结肠的分布情况以及憩室内有无炎症过程的迹象来决定。