MSCT多平面重建对急性阑尾炎的诊断价值  

The Value of MSCT with Multi-planar Reformation in the Diagnosis of Acute Appendicitis

作　　者：原仲晖[1] 黄炎标[1] 敖振杰[1] 金新安[1] 区俊兴[1] 黄开胜[1] 

机构地区：[1]广东省东莞市厚街医院放射科,广东东莞523945

出　　处：《中国CT和MRI杂志》2015年第8期84-86,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨MSCT多平面重建对急性阑尾炎的诊断价值。方法回顾性分析50例临床诊断急性阑尾炎患者的临床资料、薄层CT图像及多平面重建图像,全部病例均手术及病理证实。结果 CT确诊急性阑尾炎38例,主要表现阑尾增粗(>6mm),管壁增厚(>2mm),阑尾周围炎、脓肿,腔内外积气、粪石等;误诊或漏诊12例,包括5例急性阑尾炎和其他急腹症病变。结论急性阑尾炎是临床上常见、不可忽视的急腹症之一,MSCT多平面重建图像能更好显示阑尾位置及其病变情况,对鉴别其他急腹症、术前定位、决定手术方式有重要意义。Objective To investigate the value of multislice spiral CT（MSCT） in the diagnosis of acute appendicitis with multi-planar reformation technique. MethodsRetrospectively analyzed the data of 50 acute appendicitis patients who were diagnosed with clinical data, thin layer CT images and multi-planar reformation images, and confirmed with operation and pathology. Results Results 38 of 50 cases were definitely diagnosed of acute appendicitis with CT imag es. The main performance in CT of these patients were as follow： enlarged appendix（〉6mm）, thickened wall（〉2mm）, periappendicitis, abscess, appendiceal pneumatosis and fecalith（inside or outside）. 12 of 50 cases were missed or misdiagnosed, including 5 of acute appendicitis and the rest of other acute abdominal disease. Conclusion Conclusion Acute appendicitis is one of the common acute abdomen diseases and should take into account. MSCT with multi-planar reformation can have a better location and display of the appendix, which will h elp to differentiate the other acute abdomen diseases, identify the preoperative location and determine the option of operation method.

关 键 词：急性阑尾炎 多层螺旋CT 急腹症 多平面重建 

分 类 号：R445.3[医药卫生—影像医学与核医学] R656.1[医药卫生—诊断学]