CAJ | 학술논문

目的探讨16层螺旋CT对急性阑尾炎的诊断价值.方法对34例经手术病理证实为急性阑尾炎的患者的16层螺旋CT资料进行回顾性分析,并与手术所见和病理结果进行对照.结果 CT诊断为急性阑尾炎者30例,诊断正确率88%(30/34).28例阑尾直径＞6 mm,2例阑尾完全萎陷、阑尾壁增厚.25例可见阑尾周围脂肪间隙模糊、片絮状或条带状密度增高影.4例阑尾穿孔.2例见阑尾周围脓肿形成.另有3例阑尾炎被漏诊、1例被误诊.结论 16层螺旋CT可以及时、准确的诊断急性阑尾炎及其并发症,并与其它疾病进行鉴别,为临床制定正确的治疗方案和评估预后提供可靠的依据.
목적 탐토16층라선CT대급성란미염적진단개치.방법 대34례경수술병리증실위급성란미염적환자적16층라선CT자료진행회고성분석,병여수술소견화병리결과 진행대조.결과 CT진단위급성란미염자30례,진단정학솔88%(30/34).28례란미직경＞6 mm,2례란미완전위함、란미벽증후.25례가견란미주위지방간극모호、편서상혹조대상밀도증고영.4례란미천공.2례견란미주위농종형성.령유3례란미염피루진、1례피오진.결론 16층라선CT가이급시、준학적진단급성란미염급기병발증,병여기타질병진행감별,위림상제정정학적치료방안화평고예후제공가고적의거.
Objective To evaluate 16-SCT in diagnosing aeute appendicitis.Methods The CT findings of 34 cases were retrospectively analyzed.These cases were all proved acute appendicitis by surgical-pathology.Results 30 cases were confirmed by CT,with accuracy 88% (30/34).The diameter of 28 appendix was more than 6mm;2 collapsed with thickening wall.Periappendiceal fat stranding could be seen in 25 cases.Perforated appendicitis happened in 4 cases.Abscess performed in 2 cases.3 cases were missed,1 misdiagnosed.Conclusion 16-SCT could confirm acute appendicitis and its complication timely and accurately.