64排螺旋CT诊断急性阑尾炎的价值  

Value of 64-slice CT in diagnosis of acute appendicitis

作　　者：李雪峰[1] 王存锁 王国红[1] 

机构地区：[1]内蒙古包头市蒙医中医医院影像科,内蒙古包头014040

出　　处：《医学影像学杂志》2016年第1期71-73,共3页Journal of Medical Imaging

摘　　要：目的探讨64排螺旋CT对急性阑尾炎的诊断价值。方法收集本院46例临床上拟诊急性阑尾炎的病例。术前均采用Philips Brilliance 64排螺旋CT进行常规扫描及多层面重组。其中12例患者行双期增强扫描,总结分析,并将CT表现与手术病理结果作比较。结果在46例急性阑尾炎患者中,有32例CT显示阑尾异常增粗、壁增厚,42例显示阑尾周围渗出性炎性改变(表现阑尾周围脂肪间隙斑片状及条索状模糊影),6例阑尾周围脓肿形成,另外,阑尾内结石15例,腹腔少量积液8例,30例筋膜局限性增厚,局限性盲肠壁增厚6例,腹膜炎及低位肠梗阻4例,腔外游离气体2例。结论 64排螺旋CT扫描对急性阑尾炎的诊断具有较高价值。Objective To investigate the value of 64-slice spiral CT in diagnosis of acute appendicitie. Methods 46 patients with clinically suspected acute appendicitis were renrolled in this study. All cases were examined before surgery with routine Philips Brilliance 64-slice-spiral CT scanning, CT data were dealed with MPR, of which 12 patients underwent contrast-enhanced CTscan, CT findings were retrospectively aanalyzed and compared with those of surgery and pathology. Results In 46 cases of acute appendicitis patients, 32 cases of appendix CT showed abnormal thickening, wall thickening, 42 cases showed the appendix surrounding exudative inflammatory changes, expression of perappendiceal fat clearance patchy shadow, 6 cases appeared appendiceal abscess formation. In addition, there were in 15 cases of appedicliths, 8 cases of peritoneal effusion, 30 cases of limitations fascia thickening, 6 cases of bowel wall thickening 4 cases of peritionitis and intestinal obstruction, 2 cases of free gas cavity. Conclusion 64-slice spiral CT has an important value in the diagnosis of acute appendicitis.

关 键 词：急性阑尾炎 体层摄影术 X线计算机 

分 类 号：R574.61[医药卫生—消化系统] R814.42[医药卫生—内科学]