CAJ | 학술논문

目的：探讨多层螺旋CT（MSCT）及重建技术在急性阑尾炎诊断及鉴别诊断中的应用价值。方法：回顾性分析57例临床拟诊急性阑尾炎病例，均行MSCT扫描，并在工作站进行MPR、CPR图像重建后综合分析CT表现，然后与临床病史及术后结果对照。结果：57例病例中，急性单纯性阑尾炎31例，急性化脓性阑尾炎9例，穿孔性阑尾炎7例，阑尾周围脓肿4例；回盲部肿瘤2例，阑尾黏液囊肿1例，大网膜囊肿1例，右侧输尿管结石1例，血管或肠管误认为阑尾1例。结论：MSCT扫描并结合MPR、CPR重建技术可明确显示阑尾及周围组织、器官的相关情况，在急性阑尾炎的诊断及鉴别诊断中有较高应用价值。
목적：탐토다층라선CT（MSCT）급중건기술재급성란미염진단급감별진단중적응용개치。방법：회고성분석57례림상의진급성란미염병례，균행MSCT소묘，병재공작참진행MPR、CPR도상중건후종합분석CT표현，연후여림상병사급술후결과대조。결과：57례병례중，급성단순성란미염31례，급성화농성란미염9례，천공성란미염7례，란미주위농종4례；회맹부종류2례，란미점액낭종1례，대망막낭종1례，우측수뇨관결석1례，혈관혹장관오인위란미1례。결론：MSCT소묘병결합MPR、CPR중건기술가명학현시란미급주위조직、기관적상관정황，재급성란미염적진단급감별진단중유교고응용개치。
Objective:To explore the application value of multi-slice spiral CT(MSCT)and reconstruction techniques in the diagnosis and differential diagnosis of acute appendicitis.Method:A retrospective analysis of 57 clinical cases suspected acute appendicitis:scanned with multilayer spiral CT,reconstructed MPR and CPR images at workstation, then composite analyzed of CT findings,compared CT findings with clinical history and postoperative findings.Result:Among the 57 cases,31 cases of acute simple appendicitis,9 cases of acute suppurative appendicitis,7 cases of perforated appendicitis,4 cases of appendiceal abscess;ileocecal tumor in 2 cases,1 case of mucocele of the appendix,1 case of omental cyst,1 case of right ureter stones,1 case of intestinal vascular or mistaken railing tail.Conclusion:MSCT scanning combined with MPR,CPR reconstruction techniques can be clearly demonstrated appendix and surrounding tissues and organs of the relevant circumstances,in acute appendicitis diagnosis and differential diagnosis has a higher application value.