摘要
目的:探讨CT平扫对急性阑尾炎病变阑尾解剖位置的诊断价值。方法:收集我院2010年至2012年期间经病理证实的急性阑尾炎患者102例,术前均CT平扫检查。回顾性分析CT所示病变阑尾的解剖位置,并与术中所见及病理结果对照。结果:CT平扫图像显示,盆位阑尾炎29例,占28.4%(29/102);回肠前位21例,占20.6%(21/102);回肠后位16例,占15.7%(16/102);盲肠后位18例,占17.6%(18/102);盲肠下位15例,占14.7%(15/102);盲肠外腹膜后位2例,占2.0%(2/102);盲肠内位1例,占1.0%(1/102)。与术中所见差异无统计学意义(P>0.05)。结论:CT平扫可准确显示急性阑尾炎病变阑尾的不同解剖位置,在临床诊断、鉴别诊断及手术方案的选择上具有重要参考价值。
Objective：To investigate the value of unenhaneed spiral computed tomography （CT） for demonstrating the location of ap- pendix with acute appendicitis. Methods：One hundred and two patients with acute appendicitis proven by surgery and pathology were enrolled into this study. All of them underwent emergency unenhanced spiral CT before operation. On CT images, the location of ap- pendixes were reviewed and compared with the intraoperative or pathological findings. Results：According to the location of appendix confirmed by CT, the cohort was composed of 29 cases with appendix located in pelvic （28.4%） ,21 with appendix in front of ileum （ 20.6% ） , 16 with appendix behind ileum（ 15.7% ） , 18 with appendix behind cecum （ 17.6% ） , 15 with appendix below cecum （ 14. 7% ） ,2 with appendix located in the retroperitoneal space outside of cecum （2%） , and 1 with appendix in cecum（ 1% ）. There were no differences in the demonstration of the appendix location between CT and intraoperative findings （ all P 〉 0.05 ）. Conclusion ： Unen- hanced spiral CT can display the location of appendix with acute appendicitis correctly, which is helpful to the diagnosis and treatment of this disease.
出处
《川北医学院学报》
CAS
2013年第3期252-256,共5页
Journal of North Sichuan Medical College
基金
成都市卫生局重大联合攻关科研项目(0803)
