螺旋CT对急性阑尾炎的诊断价值  

Diagnostic： value of 16-SCT manifestation in Acute appendicitis

作　　者：陈晓荣[1] 王宏宇[2] 夏进东[1] 张珊珊[1] 万华[1] 宋亚兵[1] 罗春霞[1] 

机构地区：[1]郧阳医学院附属东风医院CT室,湖北省十堰442008 [2]郧阳医学院附属东风医院外科,湖北省十堰442008

出　　处：《中国基层医药》2009年第12期2135-2136,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨16层螺旋cT对急性阑尾炎的诊断价值。方法对34例经手术病理证实为急性阑尾炎的患者的16层螺旋cT资料进行回顾性分析，并与手术所见和病理结果进行对照。结果cT诊断为急性阑尾炎者30例，诊断正确率88％（30／34）。28例阑尾直径〉6mm，2例阑尾完全萎陷、阑尾壁增厚。25例可见阑尾周围脂肪间隙模糊、片絮状或条带状密度增高影。4例阑尾穿孔。2例见阑尾周围脓肿形成。另有3例阑尾炎被漏诊、1例被误诊。结论16层螺旋CT可以及时、准确的诊断急性阑尾炎及其并发症，并与其它疾病进行鉴别，为临床制定正确的治疗方案和评估预后提供可靠的依据。Objective To evaluate 16-SCT in diagnosing acute appendicitis. Methods The CT findings of 34 cases were retrospectively analyzed. These cases were all proved acute appendicitis by surgical-pathology. Results 30 cases were confirmed by CT,with accuracy 88% （30/34）. The diameter of 28 appendix was more than 6ram ;2 collapsed with thickening wall. Periappendiceal fat stranding could be seen in 25 cases. Perforated appendicitis hap- pened in 4 cases. Abscess performed in 2 cases. 3 cases were missed, 1 misdiagnosed. Conclusion 16-SCT could confirm acute appendicitis and its complication timely and accurately.

关 键 词：阑尾炎 体层摄影扫描仪 X线计算机 诊断 

分 类 号：R656.8[医药卫生—外科学] R816.5[医药卫生—临床医学]