论文部分内容阅读
目的 探讨老年结肠憩室患者的患病情况、临床特点及并发症。 方法 对 6 2例结肠憩室资料进行回顾性分析。 结果 (1) 6 2例中 ,老年组和非老年组分别为 35例和 2 7例 ,老年患者约占 5 6 % ,40岁以下患者占 10 % ;(2 )老年组憩室在左半结肠的检出率 (45 % )显著高于非老年组(2 9% ) ,在右半结肠 (2 9% )则显著低于非老年组 (45 % ,均为P <0 0 5 ) ;(3)老年组单纯憩室炎检出率(17% )显著低于非老年组 (5 2 % ,P <0 0 5 ) ;老年组出血和穿孔发生率 (分别为 17%和 17% )均显著高于非老年组 (分别为 7%和 4% ,均为P <0 0 5 )。 结论 结肠憩室以老年患者占多数 ,出血和穿孔等严重并发症以老年为主 ,单纯憩室炎等轻型并发症则以非老年多见 ,临床误诊率高。
Objective To investigate the prevalence, clinical features and complications of elderly patients with colonic diverticulum. Methods The data of 62 cases of colonic diverticula were retrospectively analyzed. Results (1) Sixty-two cases were 35 cases and 27 cases in elderly group and non-elderly group, respectively, accounting for 56% of elderly patients and 10% of patients under 40 years old. (2) (45%) were significantly higher than those in the non-elderly group (29%), those in the right colon (29%) were significantly lower than those in the non-elderly group (45%, P <0.05) 3) The detection rate of diverticulitis in the elderly group was significantly lower than that in the non-elderly group (17% vs 52%, P <0.05); the bleeding rate and perforation rate in the elderly group were 17% and 17% Higher than the non-elderly group (7% and 4%, respectively, P <0 05). Conclusions The majority of colorectal diverticula are elderly patients. The serious complications such as hemorrhage and perforation are mainly in the elderly. The mild complication such as simple diverticulitis is more common in non-elderly patients and the clinical misdiagnosis rate is high.