Shrier D, Skucas J, Weiss S
Department of Radiology, University of Rochester Medical Center, New York.
Am J Gastroenterol. 1991 Oct;86(10):1466-71.
The role of a contrast enema and computed tomography (CT) was evaluated in 228 patients with a discharge diagnosis of acute diverticulitis. Forty-nine percent of these patients eventually required surgery. In the surgical group, 90% of contrast enemas and 69% of CT examinations reported either diverticulitis or findings compatible with diverticulitis. In patients treated medically, the negative results were higher with both modalities, although it is believed that a number of these patients were misdiagnosed. The contrast enema and CT influenced the decision for surgery in 17% and 6%, respectively, in patients undergoing these examinations.
对228例出院诊断为急性憩室炎的患者评估了造影灌肠和计算机断层扫描（CT）的作用。这些患者中有49%最终需要手术。在手术组中，90%的造影灌肠和69%的CT检查报告为憩室炎或与憩室炎相符的表现。在内科治疗的患者中，两种检查方式的阴性结果更高，尽管据信其中一些患者被误诊。接受这些检查的患者中，造影灌肠和CT分别影响了17%和6%患者的手术决策。
