Doringer E, Ferner R
Zentralröntgeninstitut der Landeskrankenanstalten Salzburg.
Rofo. 1990 Jan;152(1):76-9. doi: 10.1055/s-2008-1046821.
33 patients with clinically suspected diverticulitis of the colon were studied prospectively by CT. The predictive value of symptoms, such as thickening of the colonic wall (86.6%), inflammatory changes of the pericolic fatty tissue (87.5%), the presence of diverticula (73.3%) and abscess formation (100%), were examined separately and their significance was evaluated. Our study was performed mainly on clinically less severe cases of diverticulitis. True positive results by CT were reached in 20/21 cases (sensitivity = 95.2%), true negative findings in 9/12 (specificity = 75.0%). The results of CT examinations were compared with those of contrast enemas (n = 24) and/or endoscopy (n = 6). The number of cases was too low to achieve statistic significance; the relatively high percentage of questionably positive results shows the difficulties inherent in these methods. Our study shows that CT is a good means to demonstrate even less severe forms of colonic diverticulitis with sufficient reliability.
对33例临床疑似结肠憩室炎的患者进行了CT前瞻性研究。分别检查了诸如结肠壁增厚（86.6%）、结肠周围脂肪组织炎症改变（87.5%）、憩室存在（73.3%）和脓肿形成（100%）等症状的预测价值，并评估了其意义。我们的研究主要针对临床症状较轻的憩室炎病例。CT检查结果为真阳性的有20/21例（敏感性=95.2%），真阴性的有9/12例（特异性=75.0%）。将CT检查结果与24例钡剂灌肠和/或6例内镜检查结果进行了比较。病例数过少，无法达到统计学意义；可疑阳性结果的比例相对较高，显示了这些方法固有的困难。我们的研究表明，CT是一种可靠的手段，能够很好地显示即使是症状较轻的结肠憩室炎。
