左侧结肠憩室炎诊断与治疗体会（附29例报告）

DIAGNOSIS AND TREATMENT OF LEFT COLONIC DIVERTICULITIS(A REPORT OF 29 PATIENTS)

本文介绍我院４６年来收治的２９例左侧结肠憩室炎病人的诊治情况。２９例全部作了手术，其中急诊手术２２例，择期手术７例。诊断主要依靠病史、体征、泛影葡胺灌肠和ＣＴ检查。提出急诊手术与择期手术的手术指征，手术方式的选择方法。对各种手术方式的利弊作了比较。因结肠憩室炎易复发，复发周期在３～４个月．因此择期手术强调在第一次复发后３个月作手术。又因年轻病人予后常较严重，强调第一次发作后３～４周积极行手术治疗。

This paper reports 29 patients with left colonic diverticulitis. Of them 22 patients have been emergently operated on and 7 have been electively operated. Diagnosis was chiefly by history, physical examination, meglumine diatrizoate enema and computed tomography (CT). This paper discribes the indications for emergency of elective surgery and selections of operative method, and the advantages and disadvantages of various operative methods are compared. Young men with diverticulitis have more severe results, although their morbidity is often less than that in older men.Therefore, in young men elective colectomy is justified in 3 to 4 weeks after an acute attack; other patients can be operated on in 3 months after the first recurrence except emergency.