摘要
目的:探讨老年人急性阑尾炎CT诊断价值。材料与方法:回顾性分析46例老年人急性阑尾炎患者的CT表现。结果:46例中,术前正确诊断阑尾炎43例,诊断正确率为93.5%(43/46),43例中,CT诊断2级4例,3级21例,4级13例,5级6例,CT分级诊断正确率为95.3%(41/43)。CT诊断阑尾穿孔16例,诊断正确率为84.2%(16/19)。结论:CT能直接显示阑尾的部位、大小及形态,能同时观察阑尾周围改变,对老年人急性阑尾炎具有较高的诊断价值。
Purpose： To evaluate the diagnose value of CT in acute appendicitis in the elderly. Materials and Methods： The CT imaging findings of 46 patients with acute appendicitis in the elderly were reviewed retrospectively. Re- salts： In the 46 patients, 93. 5% （43/46） of patients were correctly preoperative diagnosed. In these 43 patients with cor- rect diagnosis, grade 2 were found in 4 patients on CT scans, grade 3 in 21 patients, grade 4 in 13 patients, , and grade 5 in 6 patients, And 95.3 % （n = 41/43 ） of the patients were graded correctly. The presence of perforation were correctly preoper- ative diagnosed in 84. 2% （16/19） of the patients on CT imaging. Conclusion： CT can accurately determine not only the lo- cation, size, appearance of the appendix, but also the adjacent change of the appendix. CT is useful in the diagnose of acute appendicitis in the elderly.
出处
《现代医用影像学》
2013年第1期43-45,共3页
Modern Medical Imageology
