结肠憩室炎多层螺旋CT诊断及临床应用价值  

Clinical Application Value of MSCT in Diagnosing Colonic Diverticulitis

作　　者：潘壬清[1] 曾红辉[1] 邓周强[1] 张浩[1] 李金茂[1] 谢振文[1] 

机构地区：[1]广东省佛山市顺德区新容奇医院放射科,广东佛山528303

出　　处：《中国CT和MRI杂志》2017年第11期106-108,共3页Chinese Journal of CT and MRI

基　　金：佛山市顺德区医学科研项目(立项编号:2015B030)

摘　　要：目的探讨多层螺旋CT对结肠憩室炎的诊断价值。方法对53例经内镜、手术证实为结肠憩室炎患者的术前全腹多层螺旋CT征象进行回顾性分析,并以内镜、手术结果为标准,评价CT诊断的准确性,并对评估失误病例进行分析、总结。结果 53例患者中,发现结肠憩室53例,憩室壁增厚50例,邻近结肠壁增厚48例,结肠周围炎性改变53例,肠袢间或肠系膜周围积液10例,腹腔游离气体5例,腹腔脓肿3例,肠梗阻2例,多层螺旋CT诊断的准确率为94.3%。结论多层螺旋CT螺旋能准确地诊断结肠憩室炎,对临床治疗方案的选择有重要的临床价值。Objective To investigate the diagnostic value of the nmlti-slice CT（MSCT） in colonic diverticulitis.Methods Whole abdominal MSCT scanning was performed in 53 cases of colonic diverticulitis that were confirmed by endoscope or operation. The CT signs were retrospectively analyzed and were evaluated in accordance with clinical or operative pathologic results. Results Of the 53 cases, colonic diverticula（n=53）, diverticula wall thickening（n=50）, localized colonic bowel wall thickening（n=48）, peri- colonic inflammatory evidence（n=53）, surrounding bowel and mesenteric fluid（n=10）, intraperitoneal or retroperitoneal free air（n=5）, pericolic abscess（n=3）, intestinal obstruction（n=2）.The diagnostic compatibility rate of MSCT was 94.3%.Conclusion MSCT is very useful in the diagnosis of colonic diverticulitis, and has important clinical value for the choice of clinical treatment plan.

关 键 词：结肠憩室炎 诊断 体层摄影术 X线计算机 

分 类 号：R656.9[医药卫生—外科学]