MSCT平扫在基层医院诊断儿童不典型急性阑尾炎的价值  

The value of MSCT plain scan in the diagnosis of atypical acute appendicitis in children in primary hospitals

作　　者：王少华 史建英[1] 杨志刚[1] 杨小刚[1] 王晓东 WANG Shaohua;SHI Jianying;YANG Zhigang;YANG Xiaogang;WANG Xiaodong(Department of Medical Imaging,Changzhi Maternal and Child Health Hospital,Changzhi,Shanxi,046000,China)

机构地区：[1]长治市妇幼保健院医学影像科,山西长治046000

出　　处：《临床急诊杂志》2021年第11期772-775,共4页Journal of Clinical Emergency

摘　　要：目的:探讨多层螺旋CT(MSCT)平扫诊断儿童不典型急性阑尾炎的价值。方法:回顾性收集20例临床表现不典型的儿童急性阑尾炎患儿MSCT影像学资料,并与术中、病理资料进行对照。结果:20例急性阑尾炎患儿均为不典型临床表现,术前MSCT影像:20例患儿均可见阑尾增粗、阑尾壁增厚,其中14例阑尾周围脂肪间隙模糊,12例阑尾内可见积液,6例阑尾穿孔合并周围脓肿形成,10例出现阑尾内粪石。影像资料与临床手术、病理资料进行对照结果一致。结论:MSCT平扫对儿童不典型急性阑尾炎定位及定性诊断有重要临床价值,并可评估其并发症,有利于临床早期制定科学合理治疗方案。Objective:To explore the value of MSCT in the diagnosis of atypical acute appendicitis in children.Methods:The MSCT imaging data of 20 children with atypical clinical manifestations of acute appendicitis were collected retrospectively and compared with the interpretative and pathological data.Results:All the 20 children with acute appendicitis had atypical clinical manifestations.MSCT images before surgery:20 cases showed thickening of the appendix and thickening of the wall of the appendix.Among them,14 cases had obscured fat space around the appendix,and 12 cases showed accumulation in the appendix.Liquid,6 cases of appendix perforation combined with peripheral abscess formation,10 cases of fecal stones in the appendix.The imaging data was consistent with the clinical operation and pathological data.Conclusion:MSCT plain scan has important clinical value for the localization and qualitative diagnosis of atypical acute appendicitis in children,and can evaluate its complications,which is beneficial to formulating scientific and reasonable treatment plans in the early clinical stage.

关 键 词：儿童 阑尾炎 体层摄影术 X线计算机 

分 类 号：R656.8[医药卫生—外科学]