郭威,曾旭文,梁治平,陈松,周洁,李艳梅,何敏聪.结肠憩室炎CT分级及其对临床治疗方案的预测[J].中国医学影像技术,2017,33(11):1670~1673
结肠憩室炎CT分级及其对临床治疗方案的预测
Grade of CT in colonic diverticulitis and value in predicting clinical treatment
投稿时间:2017-02-06  修订日期:2017-05-27
DOI:10.13929/j.1003-3289.201702010
中文关键词:  憩室炎  结肠  体层摄影术,X线计算机
英文关键词:Diverticulitis  Colon  Tomography,X-ray computed
基金项目:
作者单位E-mail
郭威 暨南大学附属广州红十字会医院 广州市红十字会医院放射科, 广东 广州 510220  
曾旭文 暨南大学附属广州红十字会医院 广州市红十字会医院放射科, 广东 广州 510220 13926190802@163.com 
梁治平 暨南大学附属广州红十字会医院 广州市红十字会医院放射科, 广东 广州 510220  
陈松 暨南大学附属广州红十字会医院 广州市红十字会医院放射科, 广东 广州 510220  
周洁 暨南大学附属广州红十字会医院 广州市红十字会医院放射科, 广东 广州 510220  
李艳梅 暨南大学附属广州红十字会医院 广州市红十字会医院放射科, 广东 广州 510220  
何敏聪 暨南大学附属广州红十字会医院 广州市红十字会医院放射科, 广东 广州 510220  
摘要点击次数: 1631
全文下载次数: 1087
中文摘要:
      目的 探讨结肠憩室炎CT分级及其对临床治疗方案的预测意义。方法 回顾性分析41例已确诊为结憩室炎的患者的CT资料并对其进行CT影像学分级,1~3级预测为可行保守治疗,4~5级预测为需行手术治疗,并与临床实际治疗方案进行对照。结果 结肠憩室炎CT主要表现为突出于肠壁的小囊袋状突起,憩室壁及邻近肠壁水肿增厚(40/41,97.56%)、周围脂肪结构紊乱及邻近腹膜增厚(39/41,97.12%)。41例憩室炎患者术前CT分级预测治疗方案的准确率为85.37%(36/41)。结论 结肠憩室炎的CT表现有一定的特征性,CT分级有助于临床制定治疗方案。
英文摘要:
      Objective To investigate th grade of CT in colonic diverticulitis and the value in predicting clinical treatment. Methods CT data of totally 41 patients with colonic diverticulitis were analyzed retrospectively. According to the imaging signs, the grading of diverticulitis cases was performed. Patients with level 1 to 3 were considered as only need non-operative treatment, those with level 4 or 5 were considered as need surgical treatment. The consistency of predictive treatment plans were contrasted with clinical practical treatment results. Results The CT features of colonic diverticulitis were sac-like protrusions bulged outside of the bowel wall with colon wall thickening in 40 cases (40/41, 97.56%) and fuzzy peri-colonal fat space in 39 cases (39/41, 97.12%). The diagnostic accuracy of preoperative CT grading in predictive treatment plan was 85.37% (36/41). Conclusion Colonic diverticulitis have certain characteristic CT findings. CT grading of diverticulitis is helpful to formulate appropriate clinical treatment.
查看全文  查看/发表评论  下载PDF阅读器