Abstract: Objective:To explore the clinical application of ileocecal plica(Treves plica) covering in colonic diverticulum perforation in ileocecal part.Methods:A retrospective analysis of zhongshan hospital affiliated to dalian university in September,2015December 2019 treated 40 cases of appendix multiple diverticulum and colonic diverticulum perforation clinical data,divided into two groups,adopting group A blind fold back cover diverticulum perforation position,group B with pedicle retroperitoneum or intestinal fat covering parts repairing perforation,statistical group cure rate,mortality rate,the meal time,the average length of hospital stay and complications.Results:The two groups of patients were cured and discharged without death.The average length of hospital stay in group A was(5±0.56)d,and that in group B was(9±2.59)d.The average postoperative feeding time in group A was(1±0.76)d,and the average postoperative feeding time in group B was(2±1.76)d.P>0.05 was not statistically significant.Complications of the two groups were 5% in group A and 20% in group B,the difference was statistically significant(P<0.05).Conclusion:Ileocecal plica suture and fixation for colonic diverticulum perforation is effective,with fewer postoperative complications and faster recovery time.

Key words: treves plica, diverticulum perforation, clinical experience