内科合并症对结肠憩室炎行结肠切除术的影响

目的：探讨与结肠憩室炎相关的危险因素及首次发作时做结肠切除术的必要性。方法：选择112例结肠憩室炎患者分为手术组和非手术组，对其一般资料、实验室检查、内科合并症进行对比分析。结果：112例患者中，手术组术前血清白蛋白水平（平均34g／L）明显低于非手术组（41g／L），P〈0．05；行结肠切除术的憩室炎患者与有糖皮质激素应用史（P〈0．05）及慢性阻塞性肺疾病病史者相关（P〈0．05），但与糖尿病和肠炎无相关关系。结论：有低白蛋白血症、慢性阻塞性肺疾病（COPD）史及糖皮质激素应用史的憩室炎患者易复发且易发生并发症，有必要在首次发作时行结肠切除术。

Influence on Medical Complications for Colectomy of Colonic Diverticulitis

Objective： To explore the related risk factors of colonic diverticulitis and the necessity of colectomy of initial onset. Methods：The general information, laboratory examination and medical complications of 112 patients with colonic diverticulitis were analyzed retrospectively. The patients were divided into an operation group and a non-opera- tion group to c.arry out the comparative analysis. Results：The laboratory examination showed that the serum albumen level before operation in the operation group was significantly lower than that in the non-operation group （34 vs 41g/L; P 〈 0.05 ）. The medical complications showed that the patients with colonic diverticulitis of colectomy correlated with the application history of glucocorticoid （ P 〈 0.05 ） and a history of chronic obstructive pulmonary disease （ P 〈 0.05 ）, but did not correlate with diabetes and enteritis. Conclusion：The patients with colonic diverticulitis who had suffered from hypoalbuminemia, chronic obstructive pulmonary disease and the application history of glucocorticoid may recur and the complications occur easily . It＇ s necessary to carry out colectomy when the disease attacks initially.