急性阑尾炎的CT诊断及临床应用价值  

Clinical value of CT in diagnosis of acute appendicitis

作　　者：唐俊军[1] 黄宗良[1] 王国良[1] 

机构地区：[1]同济大学附属同济医院医学影像科,上海200065

出　　处：《外科研究与新技术》2015年第2期103-106,共4页Surgical Research and New Technique

摘　　要：目的提高对CT在急性阑尾炎诊断中重要性的认识。方法回顾性分析经手术病理证实的87例急性阑尾炎的CT表现。结果 87例急性阑尾炎中,单纯性阑尾炎45例,阳性40例,阴性5例;化脓性阑尾炎28例,坏疽穿孔性阑尾炎7例,阑尾周围脓肿7例均出现相应的CT表现。CT表现为阑尾肿大,管径增粗,阑尾壁不同程度水肿,同时可合并周围炎性渗出或脓肿形成。结论 CT对急性阑尾炎的诊断及临床应用有很大的价值。Objective To enhance the application value of CT in diagnosis of acute appendicitis. Methods CT findings of 87 cases with acute appendicitis confirmed by surgery and pathology were retrospectively analyzed. Results There were 87 cases of acute appendicitis,45 cases of simple appendicitis,28 cases of suppurative appendicitis,7 cases of gangrenous appendicitis,7 cases of appendiceal abscess. CT findings of 5 cases of simple appendicitis were negative.CT showed swelling of the appendix,edema of the appendix wall and the abscess of the appendix. Conclusion CT imaging is of great value in the diagnosis of acute appendicitis.

关 键 词：急性阑尾炎 多平面重建 体层摄影术 诊断 

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