摘要
目的探讨MSCT扫描在临床表现不典型阑尾炎诊断中的价值。方法回顾性分析64例特殊类型阑尾炎的临床表现、CT扫描特征和手术资料。结果 64例经手术、病理证实的急性阑尾炎中,CT诊断与手术相符者57例,诊断符合率89.0%。CT扫描诊断为解剖异常阑尾23例(36.0%)(盆腔阑尾7例,腹膜后位阑尾10例,肝下阑尾6例);小儿急性阑尾炎15例(23.0%);老年人急性阑尾炎26例(41.0%)。结论 MSCT扫描对临床表现不典型阑尾炎的诊断,具有较高的临床价值。
Objective To investigate the value of helical CT in diagnosis of appendicitis with atypical clinical feature.Methods Helical CT manifestations of 64 cases of appendicitis which were not initially considered on clinical presentation confirmed surgically and pathologically were retrospectively analyze.Results Helical CT findings of appendicitis included：23cases of dissect abnormal appendicitis（36.0%）（7cases of pelvic appendicitis,10cases of retro-peritoneal appendicitis,6cases of superior position appendicitis）;15cases of the infant acute appendicitis（23.0%）;26cases of the senior citizen acute appendicitis（41.0%）.Conclusion MSCT has important significance to the diagnosis and the differential diagnosis of appendicitis and its complications atipica appendicitis.
出处
《中国实验诊断学》
北大核心
2011年第2期287-289,共3页
Chinese Journal of Laboratory Diagnosis
关键词
不典型阑尾炎
CT诊断
扫描特征
诊断标准
临床价值
Non-typical appendicitis
CT diagnosis
Scan characteristics
Diagnostic criterion
Clinical value
