摘要
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 study the prevalence, clinical features and complications of colonic diverticula in elderly patients. Methods 62 elderly colonic diverticula patients were studied retrospectively. Results (1)Among the 62 patients, 35 were in elderly group and 27 in non-elderly group; more than half patients were over 60 years of age and approximately 10% patients below 40 years of age. (2)The incidence of left-sided colonic diverticula in the elderly group was significantly higher than that in the younger one(45% vs 29%), while the incidence of the right-sided colonic diverticula in the elderly group was significantly lower than that in the younger group(29% vs 45%,P<0 05, respectively ). (3)The incidence of simple diverticulitis in the elderly group with colonic diverticula (17%) was significanly lower than that in the younger group (52%, P<0.05); the incidence of both bleeding and perforation in elderly patients were 17%, which were higher than that of the younger patients (7% and 4%, respectively) Conclusions Colonic diverticula occurred more frequently in the elders, and the mild complications such as simple diverticulitis were more often in the youngers. Misdiagnostic rate for the colonic diverticula was very high.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2000年第4期265-267,共3页
Chinese Journal of Geriatrics
