肠道结肠炎从便秘到并发症:一个系统性审查
Thomas Stirrat1, Deeptha Bejugam1, Stella Kim1
1Georgetown University School of Medicine, Washington, DC, USA.
The American journal of the medical sciences
|December 13, 2025
概括
硬结肠炎 (SC) 是慢性便秘的严重并发症,需要及时诊断和治疗. 早期CT成像和量身定制的治疗,包括保守措施或手术,对于改善患者的治疗结果和降低死亡率至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 结肠直肠炎 (SC) 是慢性便秘的一种严重,往往致命的并发症.
- 它经常被忽视,导致诊断和治疗延迟.
研究的目的:
- 系统地审查关于结肠道结肠炎的呈现,成像,管理和结果的文献.
- 确定影响患者预后的关键因素,并为临床实践提供信息.
主要方法:
- 系统的文献综述 关于Embase,PubMed/MEDLINE,科学网,以及CINAHL.
- 包括53项研究,包括58名被诊断患有硬角结肠炎的患者.
主要成果:
- 受影响患者的平均年龄为55.8岁,女性占主导地位 (62.1%).
- 常见的表现包括慢性便秘 (75.9%) 和阿片类药物使用 (13.8%). CT扫描显示大多数病例 (86.2%) 的瘤和壁壁加厚,穿孔率高 (29.3%) 和缺血性结肠炎 (44.8%).
- 死亡率显著为22.4%,与非手术方法 (0.0%) 相比,手术管理与较高的死亡率 (26.9%) 相关.
结论:
- 在患有耐火性便秘的患者中,即使没有腹部疼痛,也必须怀疑结肠直肠炎.
- 早期CT成像,特别是炎症标志物升高的CT成像,以及根据严重程度指导的治疗升级至关重要.
- 需要进一步标准化标准和前性研究,以优化对这种危及生命的疾病的管理.
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