Snyder Michael Jesse
Department of Surgery, Baylor University, Houston, Texas, USA.
Clin Colon Rectal Surg. 2004 Aug;17(3):155-62. doi: 10.1055/s-2004-832696.
Diverticular disease affects approximately two thirds of the population over the age of 70. While only a small fraction of these patients will develop diverticulitis, adequate radiological evaluation of diverticulitis and its complications is imperative in determining proper medical and surgical treatment. Clinical examination and laboratory tests alone have been found to be inaccurate in defining many aspects of the disease in up to 60% of cases. Over the past 30 years, contrast enema, computed tomography, and ultrasound have all been used extensively to diagnose the complications of diverticular disease. More recently, magnetic resonance imaging has been studied in patients with complicated diverticulitis. This article reviews the use of these different radiological modalities in diagnosing acute colonic diverticulitis and its complications.
憩室病影响着约三分之二的70岁以上人群。虽然这些患者中只有一小部分会发展为憩室炎，但对憩室炎及其并发症进行充分的影像学评估对于确定适当的药物和手术治疗至关重要。仅靠临床检查和实验室检查，在多达60%的病例中，已被发现无法准确界定该疾病的许多方面。在过去30年里，钡剂灌肠、计算机断层扫描和超声都被广泛用于诊断憩室病的并发症。最近，磁共振成像已在复杂性憩室炎患者中进行了研究。本文综述了这些不同影像学方法在诊断急性结肠憩室炎及其并发症中的应用。
