DIVERTICULAR-DISEASE OF THE COLON AT A REGIONAL GENERAL-HOSPITAL IN JAPAN
DIVERTICULAR-DISEASE OF THE COLON AT A REGIONAL GENERAL-HOSPITAL IN JAPAN
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DOI：
10.1007/bf02048036
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发表时间：
1995-07-01
影响因子：
3.9
通讯作者：
UMEDA, K
中科院分区：
文献类型：
--
作者：
NAKADA, I;UBUKATA, H;UMEDA, K
为了更好地了解日本结肠憩室病（DD）的变化性质，对x线片登记记录进行了回顾。结果：1985年至1992年8年间，6849例接受钡灌肠检查的患者中，1074例（15.7%）出现这种情况，其中男性702例（65.4%），女性372例（34.6%）。在这8年期间，发生频率从1985年的10.7%上升到1992年的17.8%。右侧、双侧和左侧DD的患者比例分别为69.2%、17.5%和13.3%。右侧DD在年轻年龄组中更常见，以男性患者为主，而左侧DD随着年龄的增长而增加，尤其是在女性患者中。在1074名患者中，有11人（1.0%）在同一时期接受了手术。对于右侧DD， 743名患者中只有2名接受了手术（0.3%）。另一方面，143名左侧DD患者中，9名患者（6.3%）接受了某种形式的手术。结论：右侧结肠憩室病在日本仍然很常见，这种趋势在未来似乎不会改变。几乎所有被诊断患有憩室的患者要么没有症状，要么只有轻微症状，只有大约1%的患者需要手术。与左侧DD相比，右侧结肠憩室疾病似乎没有严重的临床问题。
X-ray film registry records were reviewed to better understand the changing nature of diverticular disease (DD) of the colon in Japan. RESULTS: Among 6,849 patients undergoing barium enema examination during a eight-year period from 1985 to 1992, this condition was found in 1,074 patients (15.7 percent), including 702 males (65.4 percent) and 372 females (34.6 percent). During this eight-year period there was an increase in frequency from 10.7 percent in 1985 to 17.8 percent in 1992. The proportion of patients with right-sided, bilateral, and left-sided DD was 69.2 percent, 17.5 percent, and 13.3 percent, respectively. The right-sided DD was more common in the younger age group and was predominant in male patients, whereas the left-sided DD increased with age, especially in female patients. Of the 1,074 patients, 11 (1.0 percent) underwent surgery in the same period. Regarding the right-sided DD, only 2 of 743 patients received surgery (0.3 percent). On the other hand, of the 143 patients with left-sided DD, 9 patients (6.3 percent) received some form of surgery. CONCLUSION: Right-sided diverticular disease of the colon is still common in Japan, It does not appear that this tendency will change in the future. Nearly all patients diagnosed as having diverticula had either no symptoms or only mild symptoms, and only about 1 percent required surgery. Right-sided diverticular disease of the colon seems to have had no serious clinical problems compared with left-sided DD.