摘要
目的评价CT征象对急性阑尾炎穿孔的诊断价值及其对患者住院时间的影响。方法选择82例急性阑尾炎患者的CT数据进行分析,并于CT检查后24 h内行阑尾切除术,根据手术记录及病理结果分为非穿孔性阑尾炎组(66例)和穿孔性阑尾炎组(16例)。结果 2组间阑尾腔内气体、阑尾腔外气体、阑尾腔外粪石、中重度阑尾周围炎、盲肠壁增厚、小肠淤张、阑尾周围脓肿存在显著性差异(P<0.05)。2组间住院时间存在显著性差异(P<0.05),阑尾腔外气体、阑尾腔外粪石、中重度阑尾周围炎、盲肠壁增厚、小肠淤张、阑尾周围脓肿6种CT征象的出现对患者住院时间有影响。结论 CT对区分穿孔性阑尾炎及非穿孔性阑尾炎具有临床价值,穿孔征象的出现预示着患者住院时间延长。
Objective To evaluate the value of CT signs in the diagnosis of acute appendicitis perforation and its in- fluence on hospital stay. Methods The CT data of 82 patients with acute appendicitis were analyzed and divided into two groups：the perforation group （16 cases） and the non perforation group （66 cases）. Results There was a significant differ- ence between the two groups in the gas in the appendix, gas in the appendix, gastrocnemius in the appendix, peripheral inflam- mation in the middle and severe appendix, thickening of the cecum wall, small intestine congestion and abscess around the ap- pendix （ P 〈 0.05 ）. There was significant difference in hospitalization time between the two groups （ P 〈 0.05 ）. There was a strong relationship between the last 6 CT findings the gas in the appendix cavity, the gas outside the appendix cavity,the fecal calculus outside the appendix cavity, the peripheral inflammation of the appendix, the thickening of the cecum wall, the small intestinal stasis and the abscess around the appendix and the length of hospital stay. Conclusion CT has clinical significance in distinguishing perforated appendicitis from non perforated appendicitis. The presence of perforated signs predicts prolonged hospital stay.
出处
《临床合理用药杂志》
2017年第35期15-16,8,共3页
Chinese Journal of Clinical Rational Drug Use
