CAJ | 학술논문

目的：探讨MSCT在临床诊断急性阑尾炎中的应用价值。方法回顾性分析67例急性阑尾炎的临床表现、CT扫描特征和手术病理资料。结果67例经手术、病理证实的急性阑尾炎中，单纯性阑尾炎15例，阑尾炎并阑尾周围炎33例，坏疽性阑尾炎8例，阑尾穿孔并周围脓肿例11例。结论急性阑尾炎有典型的 CT表现， MSCT在三维重建及图像后处理技术能从多角度显示阑尾及其周围情况，在急性阑尾炎的诊断、术前病理分型、鉴别诊断及治疗方案的拟定中有较高的临床应用价值。
목적：탐토MSCT재림상진단급성란미염중적응용개치。방법회고성분석67례급성란미염적림상표현、CT소묘특정화수술병리자료。결과67례경수술、병리증실적급성란미염중，단순성란미염15례，란미염병란미주위염33례，배저성란미염8례，란미천공병주위농종례11례。결론급성란미염유전형적 CT표현， MSCT재삼유중건급도상후처리기술능종다각도현시란미급기주위정황，재급성란미염적진단、술전병리분형、감별진단급치료방안적의정중유교고적림상응용개치。
Objective To investigate the value of MSCT in the clinical diagnosis of acute appendicitis. Methods A retrospective analysis of 67 cases of acute appendicitis, the clinical manifestation, CT scanning features and surgical pathology. Results 67 cases were confirmed by operation and pathology, acute appendicitis, 15 cases were simple appendicitis, appendicitis and appendiceal inflammation around 33 cases, 8 cases of gangrenous appendicitis, and perforated appendicitis abscess cases around 11. Conclusion Acute appendicitis has the typical CT manifestations, MSCT in 3D reconstruction and image post-processing technology can display the appendix and the sur ounding situation from various angles, in the diagnosis of acute appendicitis, preoperative pathological classification, dif erential diagnosis and treatment of the proposed high clinical application value.