【摘要】 目的 探讨盲肠憩室炎的临床诊断与治疗。 方法 对我院近10年收治的27例盲肠憩室炎临床资料进行回顾性分析。 结果 8例以盲肠憩室炎收入院，4例入院后通过放射学检查确诊，15例误诊为急性阑尾炎，误诊率为55.6%。保守治疗4例，手术23例，其中憩室内翻埋入术2例，回盲部切除术20例，右半结肠切除术1例。 结论 应提高对盲肠憩室炎的认识，提高入院诊断的正确率。B超、CT和钡灌肠检查是有效诊断手段。炎症轻者保守治疗多可治愈，手术方法以回盲部切除为主。

    关键词 盲肠憩室炎 诊断 治疗

    Clinical diagnosis and treatment of cecal diverticulitis

    Fang Wei，Sun Jiabang

    Department of General Surgery，Xuanwu Hospital of Capital University of Medical Science，Beijing100053.

    【Abstract】 Objective To investigate the clinical diagnosis and treatment of cecal diverticulitis.Methods 27cases with cecal diverticulitis admitted from1994to2004were available for evaluation retrospectively.Results 8cases were admitted as cecal diverticulitis，4cases were diagnosed accurately by CT and barium enema in hospital.15cases were misdiagnosed as acute appendicitis and finally confirmed through abdominal laparotomy.The rate of misdi-agnosis was55.6%.4cases accepted conservative therapy.In2cases ......