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结肠憩室病的诊疗进展

王林 刘辉 潘书贵 李雷磊

临床与病理杂志2026,Vol.46Issue(2):281-286,6.
临床与病理杂志2026,Vol.46Issue(2):281-286,6.DOI:10.11817/j.issn.2095-6959.2026.260019

结肠憩室病的诊疗进展

Advances in the diagnosis and treatment of colonic diverticular disease

王林 1刘辉 1潘书贵 1李雷磊1

作者信息

  • 1. 定远县总医院普外科,滁州 233200
  • 折叠

摘要

Abstract

Colonic diverticular disease is one of the common diseases of the digestive tract and can be classified into asymptomatic diverticular disease,symptomatic uncomplicated diverticular disease,and complicated diverticular disease.Colonic diverticula often have an insidious onset and are easily overlooked and underestimated in clinical practice.The pathogenesis of colonic diverticula includes genetic factors,alterations in the intestinal microenvironment,structural and functional disorders of the colonic wall,and chronic inflammation.Symptomatic colonic diverticular disease typically presents with abdominal pain,abdominal distension or discomfort,and changes in bowel habits.In severe cases,it may lead to peridiverticular abscess,diverticular bleeding,fistula formation,intestinal obstruction,and intestinal perforation.Color Doppler ultrasonography of the abdomen,CT,colonoscopy,and related laboratory examinations are helpful for the diagnosis of colonic diverticular disease.Treatment of colonic diverticular disease includes dietary modification,the use of probiotics and antibiotics,endoscopic therapy,and surgical intervention.

关键词

结肠憩室病/发病机制/临床表现/诊断/治疗/腹痛/腹胀不适/肠道微环境

Key words

colonic diverticular disease/pathogenesis/clinical manifestations/diagnosis/treatment/abdominal pain/abdominal distension/intestinal microenvironment

分类

医药卫生

引用本文复制引用

王林,刘辉,潘书贵,李雷磊..结肠憩室病的诊疗进展[J].临床与病理杂志,2026,46(2):281-286,6.

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