FIELD: medicine; coloproctology.
SUBSTANCE: presence or absence of clinicodiagnostic criteria, which were given the ball characteristic is examined and at presence of criterion the sign "+" is conferred, at absence - the sign "-" is conferred: presence of the expressed inflammatory changes of a wall of the sigmoid intestine, clinically shown by formation of the inflammatory tumour defined by palpation or according to laparoscopy is "±8 points"; the presence at the first survey of intensive, constant pains is "+9 points", intensive paroxysmal pains is "+5 points", the moderate constant ones is "+2 points" and the moderate paroxysmal pains is "-6 points"; occurrence of the first episode of acute diverticulitis in the age till 60 is "±5 points"; the presence of radiological attributes of proof rising of a tonus in the sigmoid intestine - a functional component is "±5 points"; Radiological attributes of the sustained inflammatory process in the sigmoid intestine, revealed for more than 2 weeks from the moment of the beginning of conservative treatment is "±5 points"; localization of diverticulums only in the left parts of the colonic intestine is "±4 points". Thus if the score makes the number similar or exceeding 13, occurrence of relapse of inflammatory process is prognosticated with probability of more than 90%, and at a score (-13) and less - relapse of inflammatory process will not be prognosticated with probability of more than 90%. In the same case if the score makes from -13 up to +13 - information for forecasting of inflammation relapse is not sufficient.
EFFECT: increase of acute diverticulitis relapse forecasting accuracy.
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Authors
Dates
2008-12-27—Published
2007-01-11—Filed