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目的分析结肠憩室病诊断及治疗。方法选取2013年1月-2017年2月医院收治的结肠憩室病患者42例作为研究对象,加强对结肠憩室病的诊断并采取积极的治疗措施,分析治疗结果。结果 42例结肠憩室病主要的发生部位依次为回盲部、乙状结肠、升结肠、降结肠、横结肠、左右半结肠同时累及、全结肠散发、直肠。42例肠憩室病患者其中单发憩室18例(42.86%),2个以上憩室者24例(57.14%),憩室开口直径在1~38 mm。42例患者中发生并发症者6例(14.29%),伴发病者36例(85.71%)。42例患者中6例(14.29%)经过内科治疗均生命体征平稳,择期出院;36例(85.71%)接受手术治疗,生命体征平稳,择期出院。结论针对结肠憩室病需采取气钡双重造影、结肠镜等手段进行综合诊断,并结合患者个体情况选择治疗方式。
Objective To analyze the diagnosis and treatment of colonic diverticular disease. Methods From January 2013 to February 2017, 42 cases of colonic diverticular disease admitted to the hospital were selected as the research object to strengthen the diagnosis of colonic diverticular disease and to take active treatment measures to analyze the treatment outcome. Results The main sites of 42 cases of colonic diverticulosis were ileocecal junction, sigmoid colon, ascending colon, descending colon, transverse colon and left and right colon, and colon and rectum. Of the 42 patients with diverticular disease, 18 (42.86%) had single diverticulum, 24 (57.14%) had two or more diverticulum, and the diameter of diverticulum was 1-38 mm. Among the 42 patients, 6 cases (14.29%) had complication, 36 cases (85.71%) had complication. Among the 42 patients, 6 patients (14.29%) had stable vital signs after medical treatment and were electively discharged. Thirty-six patients (85.71%) were treated surgically and their vital signs were stable. Conclusions For patients with diverticular colon disease, double-contrast pneumoperitoneum and colonoscopy should be used to make a comprehensive diagnosis, combined with the individual treatment of patients.