中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
2期
17-18
,共2页
穿孔性阑尾炎%非穿孔性阑尾炎%CT
穿孔性闌尾炎%非穿孔性闌尾炎%CT
천공성란미염%비천공성란미염%CT
Perforating appendicitis%Non-perforating appendicitis%CT
目的：探讨穿孔性阑尾炎与非穿孔性阑尾炎的CT鉴别诊断价值。方法回顾性分析70例经术后病理证实为急性阑尾炎患者的临床资料，穿孔组与非穿孔组各35例，分析两组CT表现。结果穿孔组阑尾平均直径（13.28±3.59）mm、阑尾腔外粪石、阑尾腔外气体、阑尾周围脓肿、阑尾壁局限性强化缺损、盆腔炎改变、阑尾周围炎（轻-重）、阑尾周围炎（中-重）（8.57%、25.71%、17.14%、54.29%、62.86%、100%、85.71%）明显高于非穿孔组（P＜0.05）。结论 CT是诊断穿孔性阑尾炎的一种有效以及快速的诊断方法，具有较高的鉴别与诊断价值。
目的：探討穿孔性闌尾炎與非穿孔性闌尾炎的CT鑒彆診斷價值。方法迴顧性分析70例經術後病理證實為急性闌尾炎患者的臨床資料，穿孔組與非穿孔組各35例，分析兩組CT錶現。結果穿孔組闌尾平均直徑（13.28±3.59）mm、闌尾腔外糞石、闌尾腔外氣體、闌尾週圍膿腫、闌尾壁跼限性彊化缺損、盆腔炎改變、闌尾週圍炎（輕-重）、闌尾週圍炎（中-重）（8.57%、25.71%、17.14%、54.29%、62.86%、100%、85.71%）明顯高于非穿孔組（P＜0.05）。結論 CT是診斷穿孔性闌尾炎的一種有效以及快速的診斷方法，具有較高的鑒彆與診斷價值。
목적：탐토천공성란미염여비천공성란미염적CT감별진단개치。방법회고성분석70례경술후병리증실위급성란미염환자적림상자료，천공조여비천공조각35례，분석량조CT표현。결과천공조란미평균직경（13.28±3.59）mm、란미강외분석、란미강외기체、란미주위농종、란미벽국한성강화결손、분강염개변、란미주위염（경-중）、란미주위염（중-중）（8.57%、25.71%、17.14%、54.29%、62.86%、100%、85.71%）명현고우비천공조（P＜0.05）。결론 CT시진단천공성란미염적일충유효이급쾌속적진단방법，구유교고적감별여진단개치。
Objective To evaluate the differential diagnosis value of CT in perforating appendicitis and non-perforating appendicitis. Methods Clinical data of 70 patients with acute appendicitis confirmed by pathology were studied, divided in to perforating appendicitis group and non-perforating gappendicitis group, each group 35 cases, CT ifndings were analyzed. Results The mean diameter of perforating appendicitis group was(13.28±3.59)mm, outer appendiceal lumen bezoar,outer appendiceal lumen gas, periappendiceal abscess,the appendix wall limitations strengthen defects,pelvic inlfammatory change, inlfammation around the appendix(light-weight), inlfammation around the appendix(in-weight)(8.57%, 25.71%, 17.14%, 54.29%, 62.86%, 100%, 85.71%)was signiifcantly higher than that in the non-perforating group(P<0.05). Conclusion CT is an effective and rapid diagnostic method for perforating appendicitis, with high identiifcation and diagnostic value.
