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中华结直肠疾病电子杂志 ›› 2020, Vol. 09 ›› Issue (03) : 226 -230. doi: 10.3877/cma.j.issn.2095-3224.2020.03.003

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乙状结肠憩室炎的诊疗现状及进展
雷程1, 吴斌2,()   
  1. 1. 830011 乌鲁木齐,新疆医科大学第三临床医学院(附属肿瘤医院)胃肠外科
    2. 100730 北京,中国医学科学院北京协和医学院 北京协和医院基本外科
  • 收稿日期:2020-03-18 出版日期:2020-06-25
  • 通信作者: 吴斌
  • 基金资助:
    中国医学科学院医学与健康科技创新工程(No.2017-I2M-1-009)

The present situation and progress in diagnosis and treatment of sigmoid diverticulitis

Cheng Lei1, Bin Wu2,()   

  1. 1. Department of Gastrointestinal Surgery, the Third Affiliated Teaching Hospital of Xinjiang Medical University (Affiliated Cancer Hospital), Urumqi 830011, China
    2. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Received:2020-03-18 Published:2020-06-25
  • Corresponding author: Bin Wu
  • About author:
    Corresponding author: Wu Bin, Email:
引用本文:

雷程, 吴斌. 乙状结肠憩室炎的诊疗现状及进展[J]. 中华结直肠疾病电子杂志, 2020, 09(03): 226-230.

Cheng Lei, Bin Wu. The present situation and progress in diagnosis and treatment of sigmoid diverticulitis[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(03): 226-230.

结肠憩室炎是指结肠憩室的炎症性疾病,好发于乙状结肠。乙状结肠憩室炎的发生与年龄、低纤维饮食及结肠动力紊乱有一定联系,临床上可有左下腹痛、发热、膀胱刺激征甚至梗阻表现。乙状结肠憩室炎主要依据CT检查来进行疾病分级,并采用相应的治疗手段,包括饮食控制、抗生素治疗、脓肿穿刺引流以及手术治疗等。本文将梳理乙状结肠憩室炎的临床诊疗现状及进展,以期协助临床医生更好地认识疾病和规范治疗。

Colonic diverticulitis is an inflammatory disease of the colonic diverticulum, which is more common in the sigmoid colon. Sigmoid diverticulitis is associated with age, a low-fiber diet, and colonic motility disorders. Patients may have clinical symptoms such as left lower abdominal pain, fever, bladder irritation, and even obstruction. Sigmoid diverticulitis is mainly classified based on CT examination. Current treatments include diet control, antibiotic treatment, abscess puncture and drainage, and surgery. This review aims to summarize the current status and progress in the diagnosis and treatment of sigmoid diverticulitis in order to help clinicians better understand and standardize the treatment of the disease.

表1 乙状结肠憩室炎穿孔分级评分
图1 结肠憩室炎的诊疗流程图[16]
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