| 血吸虫性阑尾炎CT征象及其诊断价值 |
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| 引用本文： | 周舟,王娟娟,杜伟,张靓,李正亮,王贝然,李娟娟,余义俊.血吸虫性阑尾炎CT征象及其诊断价值[J].中国医学影像技术,2019,35(7):1061-1064. |
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| 作者姓名： | 周舟 王娟娟 杜伟 张靓 李正亮 王贝然 李娟娟 余义俊 |
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| 作者单位： | 大理大学第一附属医院放射科, 云南 大理 671000,大理大学第一附属医院放射科, 云南 大理 671000,大理大学第一附属医院放射科, 云南 大理 671000,大理白族自治州人民医院放射科, 云南 大理 671000,大理大学第一附属医院放射科, 云南 大理 671000,大理大学第一附属医院放射科, 云南 大理 671000,大理大学第一附属医院放射科, 云南 大理 671000,大理大学第一附属医院放射科, 云南 大理 671000 |
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| 基金项目： | 大理大学青年教师科研基金（KYQN201609）。 |
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| 摘 要： | 目的 探讨血吸虫性阑尾炎的CT征象及其诊断价值。方法 收集26例经手术病理证实的血吸虫性阑尾炎患者，并随机选取36例非血吸虫性阑尾炎患者，观察并比较其CT表现，包括阑尾形态、阑尾石形态和邻近结肠壁是否钙化。结果 血吸虫性阑尾炎与非血吸虫性阑尾炎患者间阑尾增粗、阑尾壁增厚和阑尾周围炎症差异均无统计学意义（P均>0.05），但与非血吸虫阑尾炎相比，血吸虫性阑尾炎的结肠壁钙化和阑尾石呈双轨状更多见，差异有统计学意义（P均<0.05）。结论 CT平扫加MPR和CPR示阑尾石双轨状和阑尾周围肠壁钙化有助于诊断血吸虫性阑尾炎。
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| 关 键 词： | 血吸虫病 阑尾炎 体层摄影术 X线计算机 |
| 收稿时间： | 2019/1/27 0:00:00 |
| 修稿时间： | 2019/4/8 0:00:00 |
CT manifestations and diagnostic value of schistosomal appendicitis |
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| ZHOU Zhou,WANG Juanjuan,DU Wei,ZHANG Liang,LI Zhengliang,WANG Beiran,LI Juanjuan and YU Yijun.CT manifestations and diagnostic value of schistosomal appendicitis[J].Chinese Journal of Medical Imaging Technology,2019,35(7):1061-1064. |
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| Authors: | ZHOU Zhou WANG Juanjuan DU Wei ZHANG Liang LI Zhengliang WANG Beiran LI Juanjuan and YU Yijun |
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| Institution: | Department of Radiology, the First Affiliated Hospital of Dali University, Dali 671000, China,Department of Radiology, the First Affiliated Hospital of Dali University, Dali 671000, China,Department of Radiology, the First Affiliated Hospital of Dali University, Dali 671000, China,Department of Radiology, People''s Hospital of Dali Bai Autonomous Prefecture, Dali 671000, China,Department of Radiology, the First Affiliated Hospital of Dali University, Dali 671000, China,Department of Radiology, the First Affiliated Hospital of Dali University, Dali 671000, China,Department of Radiology, the First Affiliated Hospital of Dali University, Dali 671000, China and Department of Radiology, the First Affiliated Hospital of Dali University, Dali 671000, China |
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| Abstract: | Objective To investigate CT manifestations and their diagnostic value of schistosomal appendicitis. Methods Totally 26 patients with schistosomal appendicitis and 36 patients with non-schistosomal appendicitis confirmed by surgery and pathology were enrolled. CT manifestations were observed and compared, including appendix morphology, appendix stone shape and calcification on the adjacent colon wall. Results There was no significant difference of appendix widening, thickening of appendix wall nor inflammation around appendix between patients with schistosomal appendicitis and non-schistosomal appendicitis (all P>0.05). Compared with non-schistosomal appendicitis, calcifications of the colonic wall and the orbital sign of the appendix stone were more common in schistosomal appendicitis, and the differences were statistically significant (both P<0.05). Conclusion The orbital sign of the appendix stone and calcification signs of the intestinal wall around the appendix showed with plain CT combined with MPR and CPR are helpful to the diagnosis of schistosomal appendicitis. |
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| Keywords: | schistosomiasis appendicitis tomography X-ray computed |
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