Grade of CT in colonic diverticulitis and value in predicting clinical treatment

VernacularTitle:结肠憩室炎CT分级及其对临床治疗方案的预测
Author: Wei GUO ¹ ; Xuwen ZENG ; Zhiping LIANG ; Song CHEN ; Jie ZHOU ; Yanmei LI ; Mincong HE
Author Information

1. 暨南大学附属广州红十字会医院广州市红十字会医院放射科
Keywords: Diverticulitis; Colon; Tomography,X-ray computed
From: Chinese Journal of Medical Imaging Technology 2017;33(11):1670-1673
CountryChina
Language:Chinese
Abstract: Objective To investigate th grade of CT in colonic diverticulitis and the value in predicting clinical treatment.Methods CT data of totally 41 patients with colonic diverticulitis were analyzed retrospectively.According to the imaging signs,the grading of diverticulitis cases was performed.Patients with level 1 to 3 were considered as only need non-operative treatment,those with level 4 or 5 were considered as need surgical treatment.The consistency of predictive treatment plans were contrasted with clinical practical treatment results.Results The CT features of colonic diverticulitis were saclike protrusions bulged outside of the bowel wall with colon wall thickening in 40 cases (40/41,97.56％) and fuzzy pericolonal fat space in 39 cases (39/41,97.12％).The diagnostic accuracy of preoperative CT grading in predictive treatment plan was 85.37 ％ (36/41).Conclusion Colonic diverticulitis have certain characteristic CT findings.CT grading of diverticulitis is helpful to formulate appropriate clinical treatment.