CT检查对小儿急慢性阑尾炎的鉴别诊断效果  

Differential Diagnostic Effect of CT Examination on Acute and Chronic Appendicitis in Children

作　　者：田勇 耿照坦 TIAN Yong;GENG Zhaotan(Department of Radiology,Jinxiang County People's Hospital,Jining 272200,Shandon Province,China)

机构地区：[1]山东省金乡县人民医院放射科,山东济宁272200

出　　处：《中国实用乡村医生杂志》2024年第5期12-14,18,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的 探讨CT检查对小儿急慢性阑尾炎的鉴别诊断效果。方法 选取2022年1月—2023年6月在金乡县人民医院进行诊治的80例阑尾炎患儿,所有患儿均在手术病理检查之前进行CT检查,以手术病理检查结果为金标准判定CT检查的诊断效果,比较典型与不典型急慢性阑尾炎的CT影像图特征。结果 80例患儿手术病理检查结果显示为慢性阑尾炎2例、急性单纯性阑尾炎39例、急性化脓性阑尾炎25例、坏疽性阑尾炎10例、穿孔性阑尾炎4例,CT检查结果显示为慢性阑尾炎2例、急性单纯性阑尾炎39例、急性化脓性阑尾炎25例、坏疽性阑尾炎9例、穿孔性阑尾炎3例,CT检查诊断结果与手术病理检查结果差异无统计学意义(χ2值为2.025,P>0.05)。典型与不典型急慢性阑尾炎的CT检查影像图特征比较:阑尾壁厚度差异无统计学意义(P>0.05),直径和DEPTE差异有统计学意义(P<0.05)。结论 CT检查对小儿急慢性阑尾炎具有较为理想的鉴别诊断效果,但要考虑检查辐射性等因素,综合患儿个体情况合理选择检查方法。Objective To explore the differential diagnostic effect of CT examination on acute and chronic appendicitis in children.Methods A total of 80 children with appendicitis who were treated at Jinxiang County People's Hospital from January 2022 to June 2023 were selected.All children underwent CT examination before surgical pathological examination,and the diagnostic effect of CT examination was determined based on the results of surgical pathological examination.The CT imaging characteristics of typical and atypical acute and chronic appendicitis were compared.Results A total of 80 cases of pediatric patients underwent surgical pathological examination,2 cases of chronic appendicitis,39 cases of acute simple appendicitis,25 cases of acute suppurative appendicitis,10 cases of gangrenous appendicitis,and 4 cases of perforated appendicitis.CT examination results showed 2 cases of chronic appendicitis,39 cases of acute simple appendicitis,25 cases of acute suppurative appendicitis,9 cases of gangrenous appendicitis,and 3 cases of perforated appendicitis.There was no significant difference between CT examination and surgical pathological examination results(x value is 2.025,P>0.05).CT imaging features between typical and atypical acute and chronic appendicitis showed that there was no significant difference in appendix wall thickness(P>0.05),while there was significant difference in diameter and DEPTE(P<0.05).Conclusion CT examination has an ideal differential diagnostic effect on acute and chronic appendicitis in children,but factors such as radiation should be considered,and a reasonable examination method should be selected based on the individual situation of the child.

关 键 词：急慢性阑尾炎 小儿 CT检查 鉴别诊断 

分 类 号：R44[医药卫生—诊断学]