乙状结肠憩室炎的诊疗现状及进展

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

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.