通过对结肠憩室超声表现的分析，探讨结肠憩室临床诊断中超声的应用价值。

回顾性分析25例经手术病理和（或）结肠镜检查证实的结肠憩室病例，观察病灶的位置、形状、局部肠壁有无增厚，有无合并肌层缺如、病变周围网膜回声有无改变、有无渗液、是否合并粪石或气体等。

25例患者中，病灶共计67个，单发16例16个，多发9例51个（2~20个不等，仅1例多发憩室合并1个管状，余均呈大小不等囊袋状），升结肠15例、盲肠4例、降结肠2例、乙状结肠2例，结肠肝曲1例、升结肠伴降结肠1例，其中合并阑尾炎13例、腹膜炎3例、肠穿孔2例、系膜扭转1例、肠道出血1例、腹腔脓肿1例。超声表现为结肠旁囊袋状结构19例、呈囊袋状同时伴局部肠壁增厚4例、盲管状结构1例、局限性低回声凸起1例。合并肌层缺损13例、周围网膜回声增强16例、渗液4例、粪石8例、气体3例。

结肠憩室声像图多表现为结肠旁囊袋状结构，局部可伴肠壁增厚，部分伴肌层缺损，易合并粪石或气体，易并发阑尾炎，均伴有不同程度炎症表现，少数可合并穿孔，肠道超声检查能为临床明确诊断提供可视化的重要依据，尤其在排他性诊断中具有很重要的意义，值得临床推广应用。

Through the analysis of the ultrasound manifestation of colonic diverticulum, the application value of ultrasound in the clinical diagnosis of colonic diverticulum was discussed.

Retrospective analysis of 25 cases of colonic diverticulum confirmed by surgical pathology and (or) colonoscopy, to observe the location and shape of the lesion, whether there is thickening of the local intestinal wall, whether there is a lack of muscle layer, whether the echo of the retina around the lesion changes, whether there is exudate, whether it is combined with fecal stone or gas, and so on.

Among the 25 patients, there were 67 lesions, single 16 cases with 16 lesions, and multiple 9 cases with 51 lesions (2 to 20 cases, only 1 case with multiple diverticulum and 1 tube, and the rest were sacs of different sizes) There were 15 cases of ascending colon, 4 cases of cecum, 2 cases of descending colon, 2 cases of sigmoid colon, 1 case of colonic hepatic artery, 1 case of ascending colon with descending colon, including 13 cases of appendicitis, 3 cases of peritonitis, 2 cases of intestinal perforation, mesenteric. One case was reversed, one case of intestinal bleeding, and one case of abdominal abscess.Ultrasound showed 19 cases of cystic collaterals in the colon, 4 cases with capsular shape and local intestinal wall thickening, 1 case with blind tubular structure, and 1 case with localized hypoechoic bulge. There were 13 cases with muscular defect, 16 cases with echo enhancement of surrounding omentum, 4 cases with exudate, 8 cases with fecal stone, and 3 cases with gas.

Colonic diverticulum sonograms are often characterized by cystic structures near the colon, localized with thickened intestinal wall, partially associated with muscular layer defects, easy to combine with fecal stone or gas, easy to have appendicitis, all with varying degrees of inflammation, a few combined perforation, intestinal ultrasound can provide an important visual basis for clinical diagnosis, especially in the exclusive diagnosis, it is worthy of clinical application.