盲肠憩室炎34例诊治体会

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Abstract Objective To summarize the diagnosis and treatment experience of cecal diverticulitis.Methods Retrospective analysis of the clinical data of 34 cases of cecal diverticulitis admitted in the Taicang Hospital of Suzhou University from July 2011 to February 2017 was conducted.All patients showed acute right lower quadrant pain.23 cases of cecal diverticulitis diagnosed by abdominal CT before surgery,misdiagnosed as acute appendicitis in 10 cases,misdiagnosed as appendix abscess in 1 case.19 cases of appendectomy,1 case of ileocectomy,1 case of right colon resection,and 13 cases of conservative treatment of internal medicine.Postoperative observation of the recovery of patients and the incidence of complications.Results All patients were cured and discharged. Three cases (14.3%) were postoperative incision infection.After the dressing,the anastomotic fistula and intestinal fistula occurred.There was no perioperative death.Conservative treatment of 13 patients discharged from abdominal pain after discharge in 9 cases (69.2%),by anti-infective treatment of abdominal pain relief discharged.All cases were followed up regularly,followed up for 1-60 months,the effect of sustained, safe and feasible.Conclusion The rate of misdiagnosis of cecal diverticulitis is high,and conventional CT can significantly improve the accuracy of diagnosis.The conservative treatment of low success rate,high recurrence rate,the proposed active surgical treatment.According to the diverticular inflammation,with or without perforation,the number of diverticulum and other specific circumstances reasonable choice of surgical methods.

Key words： Caecal diverticulitis Acute appendicitis Surgical treatment

Received: 12 June 2017

PACS:

R656.8

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	Articles by authors
	FAN Feng
	KANG Tao
	LU Yao-liang

Cite this article:

FAN Feng,KANG Tao,LU Yao-liang. Experience of the treatment for 34 patients of caecal diverticulitis[J]. 中国当代医药, 2017, 24(24): 36-39.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I24/36

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