• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>World Journal of Gastroenterology >Image-guided conservative management of right colonic diverticulitis
【24h】

Image-guided conservative management of right colonic diverticulitis

机译：影像学指导的右结肠憩室炎的保守治疗

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

AIM: To study the clinical outcomes of medical therapy in patients with right colonic diverticulitis.rnMETHODS: The records of 189 patients with right colonic diverticulitis which was finally diagnosed by computed tomography, ultrasonography, or operative findings were retrospectively reviewed.rnRESULTS: Of the 189 patients hospitalized for right colonic diverticulitis, the stages of diverticulitis by a modified Hinchey classification were 26 patients (13.8%) in stage 0, 139 patients (73.5%) in stage I a, 23 patients (12.2%) in stage I b, and 1 patient (0.5%) in stage HI. Medical therapy was undertaken in 185 of 189 patients (97.9%). One hundred and eighty three of 185 patients were successfully treated with bowel rest and antibiotics. Two patients in stage I b required a resection or surgical drainage because of an inadequate response to conservative treatment. Recurrent diverticulitis developed in 15 of 183 patients (8.2%) who responded to medical therapy. All 15 patients who suffered a second attack had uncomplicated diverticulitis, and were successfully treated with medical therapy.rnCONCLUSION: Our results indicate that right colonic diverticulitis is essentially benign and image-guided conservative treatment is primarily required.
机译：目的：研究右结肠憩室炎患者药物治疗的临床效果。方法：回顾性分析189例经计算机断层扫描，超声或手术结果最终诊断为右结肠憩室炎的患者。结果：189例因右结肠憩室炎住院的患者，通过改良的Hinchey分类进行的憩室炎分期为0期26例（13.8％），a a期139例（73.5％），I b期23例（12.2％）和HI期有1名患者（0.5％）。 189名患者中的185名患者进行了医学治疗（97.9％）。 185例患者中的183例成功接受了肠道休息和抗生素治疗。由于对保守治疗的反应不足，两名处于I b期的患者需要切除或手术引流。 183名对药物治疗有反应的患者中有15名复发性憩室炎（8.2％）。所有15例第二次发作的患者均未发生复杂的憩室炎，并已成功接受药物治疗。结论：我们的结果表明，右结肠憩室炎本质上是良性的，主要需要影像引导的保守治疗。

著录项

  • 来源
    《World Journal of Gastroenterology》 |2009年第46期|5838-5842|共5页
  • 作者

    Sun Jin Park; Sung Il Choi; Suk Hwan Lee; Kil Yeon Lee;

  • 作者单位

    Department of Surgery, Kyung Hee University School of Medicine, Seoul 130-701, South Korea;

    Department of Surgery, Kyung Hee University School of Medicine, Seoul 130-701, South Korea;

    Department of Surgery, Kyung Hee University School of Medicine, Seoul 130-701, South Korea;

    Department of Surgery, Kyung Hee University School of Medicine, Seoul 130-701, South Korea;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《生物学医学文摘》(MEDLINE);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    ascending colon; cecum; medical therapy; colonic diverticulitis;

    机译：升结肠盲肠药物治疗;结肠憩室炎;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号