摘要
目的评价16层螺旋CT对急性阑尾炎的诊断价值。方法24例急性阑尾炎患者,均给予急诊16层螺旋CT平扫或增强检查,并全部通过多幅图像重建(MPR)或曲面重建(CPR)进行影像分析,分析急性阑尾炎的各种常见CT征象。结果本组24例急性阑尾炎的CT征象中,按照出现率的高低依次为阑尾管径增粗(83.3%)、阑尾壁增厚(75.0%)、阑尾周围脂肪间隙模糊(75.0%)、结肠旁沟积液(75.0%)、阑尾周围腹膜增厚(62.5%)、阑尾腔内积液(54.2%)、阑尾粪石(50.0%)、阑尾周围小肠或结肠壁增厚(45.8%)、阑尾积气(33.3%)、阑尾周围包块(25.0%)。结论阑尾管径增粗、阑尾壁增厚、阑尾周围脂肪间隙模糊、右侧结肠旁沟积液、阑尾周围腹膜增厚、阑尾腔内积液、阑尾粪石等为最常见的CT征象,阑尾周围包块高度提示脓肿形成,多种影像表现综合判断准确,为临床及时选择手术治疗提供了科学的参考依据。
Objective To evaluate the diagnostic value of 16-slice spiral CT for acute appendicitis. Methods A total of 24 patients with acute appendicitis diagnosed or pathology all received emergency 16-slice spiral CT plan or enhanced examination, and all of them were analyzed by multi-planar reconstruction (MPR) or curvature plane reconstruction (CPR). The common CT signs of acute appendicitis was analyzed. Results Among the CT signs of 24 cases of acute appendicitis in this group, the order was as follows according to the occurrence rate: thickening of appendix tube diameter (83.3%), thickening of appendix wall (75.0%), blurring of fat gap around appendix (75.0%), pericolonic groove effusion (75.0%), periappendiceal peritoneal thickening (62.5%), intraappendiceal effusion (54.2%), appendiceal fecal stone (50.0%), periappendiceal small intestine or colon wall thickening (45.8%), appendiceal pneumatosis (33.3%) and periappendiceal mass (25.0%). Conclusion Thickening of appendix tube diameter, thickening of appendix wall, blurring of fat gap around appendix, pericolonic groove effusion, periappendiceal peritoneal thickening, intraappendiceal effusion, appendiceal fecal stone are the most common CT sign. Periappendiceal mass is highly suggestive of abscess formation, and multiple imaging manifestations can be accurately judged, which provides a scientific reference for clinical timely selection of surgical treatment.
作者
黄永穗
彭荣华
赵云燕
HUANG Yong-sui;PENG Ronghua;ZHAO Yun-yan.(Foshan Nanhai District Guicheng Hospital, Foshan 528200, China)
出处
《中国现代药物应用》
2019年第18期5-7,共3页
Chinese Journal of Modern Drug Application
