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目的探讨急性阑尾炎的螺旋CT平扫的诊断价值。方法对手术病理确诊的15例急性阑尾炎患者的CT表现进行回顾性分析。结果 11例CT表现为阑尾增粗,壁增厚;12例表现为阑尾周围炎性改变(如阑尾周围脂肪条纹征、末端回肠及盲肠管壁增厚、阑尾周围积液、蜂窝织炎、脓肿、腔外气体、腔外结石、淋巴结肿大、邻近筋膜增厚、右侧腰大肌前缘模糊)。结论 CT是诊断急性阑尾炎的有效手段,为临床诊断急性阑尾炎及选择合理治疗方案提供有利的帮助。
Objective To investigate the diagnostic value of spiral CT in acute appendicitis. Methods The CT findings of 15 patients with acute appendicitis confirmed by surgery and pathology were analyzed retrospectively. Results The CT findings of 11 cases were appendiceal thickening and wall thickening. Twelve cases showed inflammatory changes around the appendix (such as fatty streak around appendix, thickening of terminal ileum and cecum wall, effusion around appendix, cellulitis, abscess , Extraluminal gas, extraluminal calculus, enlarged lymph nodes, adjacent fascia thickening, blurred right anterior psoas muscle). Conclusion CT is an effective method to diagnose acute appendicitis, which is helpful for the clinical diagnosis of acute appendicitis and the selection of reasonable treatment.