Federmann G
Klinik für Allgemeinchirurgie, Kreiskrankenhaus Goslar.
Chirurg. 1989 Jun;60(6):415-8.
Acute colonic diverticulitis is mainly diagnosed clinically, as endoscopy or coloncontrast enema might be dangerous. In this study diagnostic criteria and typical sonographic findings of acute diverticulitis are summarized. The comparison of these findings - in stadium IIa of diverticulitis - to other sonographic colon findings shows high sensitivity (0.96), specificity (0.98) and predictive values (pV +0.85, pV -0.99) for sonographic findings of acute colonic diverticulitis. Thus sonography can improve diagnostic and follow-up controls of acute diverticulitis.
急性结肠憩室炎主要通过临床诊断,因为内镜检查或结肠造影灌肠可能存在风险。本研究总结了急性憩室炎的诊断标准和典型超声表现。将这些表现(在憩室炎IIa期)与其他结肠超声表现进行比较,结果显示急性结肠憩室炎的超声表现具有高敏感性(0.96)、特异性(0.98)和预测值(阳性预测值+0.85,阴性预测值-0.99)。因此,超声检查可改善急性憩室炎的诊断和随访监测。