CAJ | 학술논문

目的：分析结肠憩室炎MSCT表现，以提高对该病的认识和诊断水平。方法回顾性分析11例经结肠镜检或手术病理证实结肠憩室炎病例的临床及MSCT资料，并结合文献复习。所有病例均作腹盆部CT平扫检查，其中2例加作CT增强检查，总结结肠憩室炎的MSCT表现特征。结果 CT表现为结肠肠壁囊袋状突出并周围脂肪密度增高10例，其中憩室内粪石7例，仅表现为肠壁周围脂肪密度增高及气腹征者1例，结肠肠壁增厚9例，憩室炎穿孔5例，其中气腹3例，合并出血1例。结论 MSCT能较好的显示结肠憩室炎病变及其并发症，对结肠憩室炎有较高的诊断价值。
목적：분석결장게실염MSCT표현，이제고대해병적인식화진단수평。방법회고성분석11례경결장경검혹수술병리증실결장게실염병례적림상급MSCT자료，병결합문헌복습。소유병례균작복분부CT평소검사，기중2례가작CT증강검사，총결결장게실염적MSCT표현특정。결과 CT표현위결장장벽낭대상돌출병주위지방밀도증고10례，기중게실내분석7례，부표현위장벽주위지방밀도증고급기복정자1례，결장장벽증후9례，게실염천공5례，기중기복3례，합병출혈1례。결론 MSCT능교호적현시결장게실염병변급기병발증，대결장게실염유교고적진단개치。
Objective To determine the multi-slice spiral computed tomography(MSCT)features of colonic diverticulitis. Methods The clinical information and MSCT of 11 patients with pathologically confirmed colonic diverticulitis were retrospectively analyzed.Results CT showed colonic diverticula with surrounding fat stranding(10)and fecalith in the diverticula(7),pericolonic fat stranding and pneumoperitoneum(1),colon wall thickening(9),bowel perforation(5)with pneumoperitoneum(3)and hematoma(1). Conclusion MSCT displays clearly the pathological changes and complications of colonic diverticulitis.