摘要
目的:探讨CT检查对急性阑尾炎的诊断价值。方法:对14例临床疑似阑尾炎患者的术前CT对照术后病理进行回顾性分析。结果:本组14例患者均经手术及病理证实,其中急性化脓性阑尾炎8例,阑尾坏疽伴穿孔2例,急性单纯性阑尾炎4例。8例急性化脓性阑尾炎中,仅有2例CT显示不清,CT诊断率75%;2例阑尾坏疽伴穿孔CT检查均有异常;4例单纯性阑尾炎CT检查发现2例阑尾增粗,CT的诊断率50%。结论:CT能显示阑尾本身、周围组织改变及合并症,可显著提高急性阑尾炎的术前诊断准确率。
Objective:To investigate the value of CT examination in the diagnosis of acute appendicitis.Methods:14 cases with clinically suspected appendicitis patients with preoperative CT control postoperative pathology were retrospectively analyzed.Results:This group of 14 cases were confirmed by surgery and pathology, including 8 cases of acute suppurative appendicitis,2cases of gangrene appendicitis with perforation, 4 cases of the acute simple appendicitis.In 8 cases of acute suppurative appendicitis, only 2 cases of CT display was not clear, and the CT diagnostic rate 75%.2 cases of CT examination were abnormal appendix gangrene with perforation.4 cases of simple appendicitis CT examination showed enlargement of 2 cases of appendix,and CT diagnostic rate was 50%.Conclusion:CT can show the appendix itself,the changes of surrounding tissue and complications.It can significantly improve the accuracy of preoperative diagnosis of acute appendicitis.
关键词
阑尾炎
急性
CT
Appendicitis
Acute
CT
