1例慢性结肠憩室炎的循证诊疗  

Evidence-based Treatment with Chronic Colonic Diverticulitis:A Case Report

作　　者：于子清 唐晓妍 吴斌[2] 杨红[1] YU Ziqing;TANG Xiaoyan;WU Bin;YANG Hong(Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院消化内科,北京100730 [2]中国医学科学院北京协和医院基本外科,北京100730

出　　处：《协和医学杂志》2023年第1期209-214,共6页Medical Journal of Peking Union Medical College Hospital

基　　金：国家自然科学基金(81970495);北京市自然科学基金(7202161);首都卫生发展科研专项(2022-2-4014);中国医学科学院医学与健康科技创新工程(2021-I2M-1-001)。

摘　　要：结肠憩室炎是一种十分常见的胃肠道疾病,可为急性或慢性病程。本文报道1例慢性结肠憩室炎患者的诊疗经过。该患者临床表现不典型,影像学检查示占位性病变可能性大,PET/CT示代谢增高灶,急性期结肠镜检查可见黏膜隆起、病理回报为炎症,但仍需与结直肠癌、炎症性肠病进行鉴别。综合考虑后予以随访观察的建议,并最终明确诊断。该患者的诊治经过体现了循证医学在疾病诊断与治疗中的重要意义。Colonic diverticulitis is a common gastrointestinal disease which can be acute or chronic in course.In this paper we report the management of a patient with chronic colonic diverticulitis.The patient had an atypical clinical presentation,whose imaging showed a high likelihood of occupying lesions.PET/CT showed hypermetabolism focus and colonoscopy saw mucosal thickening,pathological return of inflammation in the acute phase,which were difficult in differential diagnosis with colorectal cancer and inflammatory bowel disease.After comprehensive consideration,follow-up observation was recommended and the diagnosis was finally clarified.The management of this patient demonstrates the importance of evidence-based medicine in the diagnosis and treatment of diseases.

关 键 词：结肠憩室炎 结直肠肿物 循证医学 炎症性肠病 

分 类 号：R574.62[医药卫生—消化系统]