多排CT对非典型阑尾炎的诊断价值  

Value of Multi-Slice Spiral CT in the Diagnosis of Atypical Appendicitis

作　　者：李水婷[1] 江魁明[1] 麦慧[1] 张家云[1] 侍丽[1] 

机构地区：[1]广州医学院第三附属医院,广州510150

出　　处：《CT理论与应用研究（中英文）》2013年第2期339-344,共6页Computerized Tomography Theory and Applications

摘　　要：目的:探讨多排CT对缺乏典型临床表现的阑尾炎的应用价值。材料方法:搜集2010年1月～2012年1月临床首诊未考虑阑尾炎,经手术、病理证实为阑尾炎患者58例,回顾分析其CT表现。结果:58例阑尾炎患者中CT术前诊断为阑尾炎54例,诊断准确率93%。其中:解剖位置异常的阑尾炎6例;育龄妇女急性阑尾炎22例;老年急性阑尾炎19例;小儿急性阑尾炎11例。急性阑尾炎CT直接征象:阑尾肿胀、阑尾壁增厚及阑尾结石。CT间接征象:阑尾周围炎、阑尾周围脓肿。结论:使用多排CT对临床早期明确非典型阑尾炎的诊断有重要意义。Objective： To investigate the value of the multi-detector row computed tomography in the diagnosis of appendicitis with atypical clinical feature. Methods： 58 cases of appendicitis which were not initially considered on clinical presentation, were confirmed surgically and pathologically were collected, CT characteristics were retrospectively analyzed, Results： 54 of the 58 patients were correctly diagnosed on CT. It included： 6 cases of dissect abnormal appendicitis, 22 cases of women of childbearing age appendicitis. 19 cases of elderly appendicitis. 11 cases of pediatric appendicitis. The direct CT signs of acute appendicitis were an charged appendix with wall thickening and appendicolith. Indirect signs included appendiceal perityphlitis and periappendicular. Conclusion： Multi-detector row computed tomography is valuable for early diagnosis of appendicitis with atypical clinical feature.

关 键 词：非典型阑尾炎 体层摄影术 X线计算机 诊断 

分 类 号：R656.8[医药卫生—外科学]