中国内镜杂志2024，Vol.30Issue(6)：37-42,6.DOI:10.12235/E20230456
内镜下冲洗术对单纯性结肠憩室炎诊治价值的研究(附4例报告)
Diagnostic and therapeutic value of endoscopic irrigation for uncomplicated acute colonic diverticulitis(4 cases)
孙传涛 1朱晓文 2单宝珍 2李德平 2杨帆 2刘晓波2
作者信息
- 1. 浙江中医药大学附属第二医院 消化内科,浙江 杭州 310005
- 2. 十堰市太和医院(湖北医药学院附属医院) 消化内科,湖北 十堰 442008
- 折叠
摘要
Abstract
Objective To study the diagnostic and therapeutic value of endoscopic irrigation for uncomplicated acute colonic diverticulitis.Methods From June 2021 to March 2022,4 patients suspected uncomplicated acute colonic diverticulitis who then underwent colonoscopy,and endoscopic irrigation treatment was performed after confirming.The endoscopic imaging of acute colonic diverticulitis was summarized.The changes of abdominal pain symptoms and prognosis of the patients were evaluated.The levels of white blood cell(WBC)and C-reactive protein(CRP)in serum before and after treatment were measured.Results 4 patients were diagnosed as uncomplicated acute colonic diverticulitis underwent colonoscopy.Two cases were located in the ascending colon and the other two in the cecum.Endoscopic imaging characteristics included mucosal hyperemia and swelling of diverticular orifice and nearby area,purulent secretions,purulent fur and fecalith at the diverticular orifice.After treatment,the symptom of abdominal pain was relieved,the levels of WBC and CRP in serum were lower than before treatment.Conclusion Endoscopic irrigation has a useful diagnostic and therapeutic value for uncomplicated acute diverticulitis of the colon.It is worthy of further clinical study.关键词
结肠憩室炎/结肠镜检查/内镜治疗/诊断Key words
colonic diverticulitis/endoscopic examination/endoscopic therapy/diagnosis分类
医药卫生引用本文复制引用
孙传涛,朱晓文,单宝珍,李德平,杨帆,刘晓波..内镜下冲洗术对单纯性结肠憩室炎诊治价值的研究(附4例报告)[J].中国内镜杂志,2024,30(6):37-42,6.
