CT在急性阑尾炎中的应用价值  

Application Value of CT in Acute Appendicitis

作　　者：潘明[1] 严磊[1] 

机构地区：[1]上海第一人民医院,上海200080

出　　处：《临床小儿外科杂志》2005年第1期31-33,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨CT在急性阑尾炎中的应用。方法回顾性分析我院2002年4月～2004年3月收治的小儿急性阑尾炎,对作过CT检查的52例急性阑尾炎进行分析和研究。结果作过CT检查的52例急性阑尾炎均经手术及病理检查,病理报告显示急性化脓性阑尾炎35例,阑尾坏疽伴穿孔7例,急性单纯性阑尾炎9例,麦克尔憩室1例。35例急性化脓性阑尾炎中仅有3例CT显示不清,CT诊断率91.4%。7例坏疽穿孔阑尾炎,CT检查均有异常,3例有粪石嵌顿,4例有阑尾增粗,系膜、大网膜增厚模糊,阑尾周围小肠内积气,CT诊断率100%。9例急性单纯性阑尾炎,5例CT显示阑尾增粗,CT诊断率55.5%。结论对于临床病史、症状、体征不典型或肥胖的小儿急性阑尾炎,诊断有一定困难,可以借助影像学检查,有助于阑尾炎的确诊,特别是坏疽穿孔阑尾炎。Objective To study the application value of CT in the acute appendicitis. Methods Clinical data of 52 children with acute appendicitis who underwent CT examination,were reviewed during Apr 2002 to Mar 2003 in-patients our hospital. Results 35 cases of them were acute suppurative appendicitis, 7 cases appendices gangrene accompanied with perforation,9 cases of acute simple appendicitis,one cases was the Michael's diverticulum. Only 3 examples CT can not show clear in 35 cases of acute suppurative appendicitis,the diagnostic rate of CT was 91.4%. 7 gangrenous perforation appendicitis,CT check have unusual,3 have fecalithes to inlay one,4 have a thicking appendix mesentery,greater omentum thickening and fuzzy pneumatosis of small instestine in the periappendix,the diagnostic rate of CT was 100%.Of 9 acute simple appendicitis,5 cases CT showed the appendix thickening also,diagnostic rate of CT was 55.5%. Conclusion Acute appendicitis of obese child or no typical clinical medical history,symptom,sign case,its diagnosis exists a certain difficulty,can have the aid of the image in order to diagnose the appendicitis,especially the gangrene and perforated appendicitis.

关 键 词：急性阑尾炎 应用价值 急性化脓性阑尾炎 急性单纯性阑尾炎 2004年3月 穿孔阑尾炎 CT检查 2002年 回顾性分析 麦克尔憩室 影像学检查 诊断率 病理检查 病理报告 阑尾坏疽 阑尾周围 临床病史 显示 大网膜 不典型 小儿 

分 类 号：R816.5[医药卫生—放射医学]