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螺旋CT平扫技术对急性阑尾炎的诊断价值
引用本文:杨光明,罗竹人,谢雨帆,刘享波. 螺旋CT平扫技术对急性阑尾炎的诊断价值[J]. 河南医学研究, 2012, 21(3): 324-326
作者姓名:杨光明  罗竹人  谢雨帆  刘享波
作者单位:1. 厦门长庚医院放射科 福建厦门361028
2. 厦门大学附属第一医院放射科 福建厦门 361003
摘    要:
目的:利用GE LightSpeed 64排容积CT平扫技术,分析评估对急性阑尾炎的诊断价值。方法:回顾性分析30例经手术、病理证实的急性阑尾炎患者的CT影像表现。结果:急性单纯性阑尾炎7例,阑尾盲肠周围炎16例,坏疽性或出血性阑尾炎4例,阑尾周围脓肿3例,诊断准确率达到100%(P<0.05)。结论:应用多层螺旋CT平扫技术且结合多方位重建,可满意地显示大部分阑尾的全貌,以达到较准确诊断急性阑尾炎的目的。

关 键 词:急性阑尾炎  体层摄影术  X线计算机

Unenhanced helical CT for diagnosing acute appendicitis
YANG Guang-ming , LUO Zhu-ren , XIE Yu-fan , LIU Xiang-bo. Unenhanced helical CT for diagnosing acute appendicitis[J]. Henan Medical Research, 2012, 21(3): 324-326
Authors:YANG Guang-ming    LUO Zhu-ren    XIE Yu-fan    LIU Xiang-bo
Affiliation:1(1.Department of Radiology,Xiamen Chang Geng Hospital,Xiamen 361028,China;2.Department of Radiology,The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
Abstract:
Objective: To analyze and evaluate the value of using GE LightSpeed 64-detector volume CT scanning technology in the diagnosis of acute appendicitis.Methods: We have retrospectively analyzed the CT features of 30 cases with acute appendicitis confirmed by operation and pathology.Results: 7 cases of acute simple appendicitis,appendectomy appendix peripheral inflammation in 16 cases,bleeding or gangrenous appendicitis in 4 cases,3 cases with periappendicular abscess.The diagnosis accuracy was 100%(P<0.05).Conclusion: Application of multislice spiral CT scan technology combined with the multiplanar reconstruction can reveal the landscape of appendix in most cases with satisfactory,to achieve a more accurate diagnosis of acute appendicitis.
Keywords:acute appendicitis  tomography  x-ray computed
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