| 螺旋CT对急性阑尾炎的诊断价值 |
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| 引用本文： | 徐建玲,黄继康,冯春林. 螺旋CT对急性阑尾炎的诊断价值[J]. 中国中西医结合影像学杂志, 2008, 6(4): 257-258 |
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| 作者姓名： | 徐建玲 黄继康 冯春林 |
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| 作者单位： | 四川省邛崃市人民医院放射科,四川,邛崃,611530 |
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| 摘 要： | 目的：探讨螺旋CT对急性阑尾炎的诊断价值。方法：搜集CT提示或诊断为阑尾炎并经手术病理证实的34例患者，回顾性分析其CT征象。结果：15例CT表现为阑尾增粗，壁增厚；26例表现为右下腹或盆腔炎性改变（如周围脂肪密度增高、肠周积液、蜂窝织炎、脓肿、腔外气体、淋巴结肿大、相邻肠管增厚、阑尾结石或粪石）；6例盲肠末端有局限性增厚；4例右侧腰大肌影模糊。结论：CT诊断急性阑尾炎有独到之处，能为临床合理治疗提供帮助。
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| 关 键 词： | 急性阑尾炎 诊断 体层摄影术,X线计算机 |
Diagnostic value of spiral CT for acute appendicitis |
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| XU Jian-ling,HUANG Ji-kang,FENG Chun-lin. Diagnostic value of spiral CT for acute appendicitis[J]. Chinese Imaging Journal of Integrated Traditional and Western Medicine, 2008, 6(4): 257-258 |
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| Authors: | XU Jian-ling HUANG Ji-kang FENG Chun-lin |
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| Affiliation: | . (Department of Radiology, The People＇ s Hospital of Qionglai, Qionglai, 611530, China) |
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| Abstract: | Objective: To investigate the diagnostic value of spiral CT in acute appendicitis.Methods: CT manifestations of 34 cases of appendicitis surgically and pathologically confirmed were retrospectively analyzed.Results: CT findings of appendicitis were as follows: enlarged appendix with thickened wall(15 cases),signs of inflammation of right lower quadrant or localized abscess in pelvis(26 cases),such as fat line thickening,fluid collection around bowels,extra-luminal air,lymph node enlargement and adjacent bowel wall thickening,blocks of stercorolith.Localized thickening of wall of cecal apex(6 cases),blursing shadow of right psoas major(4 cases).Conclusion: Spiral CT is an effective means in diagnosis of acute appendicitis. |
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| Keywords: | Acute appendicitis Diagnosis Tomography X-ray computed |
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