医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
34期
383-385
,共3页
蒋超梅%李文智%罗林%李虹玲
蔣超梅%李文智%囉林%李虹玲
장초매%리문지%라림%리홍령
阑尾%异位急性阑尾炎%多层螺旋CT
闌尾%異位急性闌尾炎%多層螺鏇CT
란미%이위급성란미염%다층라선CT
Appendix%Ectopic acute appendicitis%Multi-slice spiral CT
目的：探讨多层螺旋CT在异位急性阑尾炎诊断中的临床应用价值。资料和方法：搜集我院2011年6月至2014年5月CT诊断为异位急性阑尾炎的病例24例，采用4层或64层螺旋CT行扫描，总结分析其CT表现，并将CT诊断结果与手术病理结果作对照。结果：CT诊断异位急性阑尾炎24例患者中，诊断为高位阑尾炎6例，低位阑尾炎11例，盲肠后腹膜外位阑尾炎4例，中腹部阑尾炎3例，经手术证实假阳性3例，CT诊断准确性为91.7%。异性急性阑尾炎与正常位置急性阑尾炎的CT表现一致，主要表现为阑尾肿大，阑尾结石，阑尾周围炎，阑尾脓肿，阑尾穿孔，腹膜炎及小肠梗阻。结论：多层螺旋CT能清晰显示异位阑尾位置、大小、走行及周围的组织改变，可帮助临床尽早、及时的明确诊断及选择合理的治疗方案，同时对手术切口的定位有着指导意义，避免阑尾穿孔、复杂并发症的发生，对减轻病人的痛苦具有非常重要的意义。,perforationofappendix,peritonitisandparalyticileus.Conclusion：MSCTcanclearlydisplayectopicappendixlocation,size,directionandthesurroundingtissuechanges,canhelptheclinicaldiagnosisasearlyaspossible,timelyandtherationalchoiceoftreatment,atthesametimeforthelocationoftheincisionwithguidance,avoidperforation,complicatedcomplications,torelievethesufferingofpatientshastheextremelyvitalsignificance.
目的：探討多層螺鏇CT在異位急性闌尾炎診斷中的臨床應用價值。資料和方法：搜集我院2011年6月至2014年5月CT診斷為異位急性闌尾炎的病例24例，採用4層或64層螺鏇CT行掃描，總結分析其CT錶現，併將CT診斷結果與手術病理結果作對照。結果：CT診斷異位急性闌尾炎24例患者中，診斷為高位闌尾炎6例，低位闌尾炎11例，盲腸後腹膜外位闌尾炎4例，中腹部闌尾炎3例，經手術證實假暘性3例，CT診斷準確性為91.7%。異性急性闌尾炎與正常位置急性闌尾炎的CT錶現一緻，主要錶現為闌尾腫大，闌尾結石，闌尾週圍炎，闌尾膿腫，闌尾穿孔，腹膜炎及小腸梗阻。結論：多層螺鏇CT能清晰顯示異位闌尾位置、大小、走行及週圍的組織改變，可幫助臨床儘早、及時的明確診斷及選擇閤理的治療方案，同時對手術切口的定位有著指導意義，避免闌尾穿孔、複雜併髮癥的髮生，對減輕病人的痛苦具有非常重要的意義。,perforationofappendix,peritonitisandparalyticileus.Conclusion：MSCTcanclearlydisplayectopicappendixlocation,size,directionandthesurroundingtissuechanges,canhelptheclinicaldiagnosisasearlyaspossible,timelyandtherationalchoiceoftreatment,atthesametimeforthelocationoftheincisionwithguidance,avoidperforation,complicatedcomplications,torelievethesufferingofpatientshastheextremelyvitalsignificance.
목적：탐토다층라선CT재이위급성란미염진단중적림상응용개치。자료화방법：수집아원2011년6월지2014년5월CT진단위이위급성란미염적병례24례，채용4층혹64층라선CT행소묘，총결분석기CT표현，병장CT진단결과여수술병리결과작대조。결과：CT진단이위급성란미염24례환자중，진단위고위란미염6례，저위란미염11례，맹장후복막외위란미염4례，중복부란미염3례，경수술증실가양성3례，CT진단준학성위91.7%。이성급성란미염여정상위치급성란미염적CT표현일치，주요표현위란미종대，란미결석，란미주위염，란미농종，란미천공，복막염급소장경조。결론：다층라선CT능청석현시이위란미위치、대소、주행급주위적조직개변，가방조림상진조、급시적명학진단급선택합리적치료방안，동시대수술절구적정위유착지도의의，피면란미천공、복잡병발증적발생，대감경병인적통고구유비상중요적의의。,perforationofappendix,peritonitisandparalyticileus.Conclusion：MSCTcanclearlydisplayectopicappendixlocation,size,directionandthesurroundingtissuechanges,canhelptheclinicaldiagnosisasearlyaspossible,timelyandtherationalchoiceoftreatment,atthesametimeforthelocationoftheincisionwithguidance,avoidperforation,complicatedcomplications,torelievethesufferingofpatientshastheextremelyvitalsignificance.
Objective:To explore the clinical application of multi-slice spiral CT in diagnosis of ectopic acute appendicitis. Materials and Methods: Between Jun.2011 and May.2014,24 patients were diagnosed as ectopic acute appendicitis by multi-slice spiral CT .They were prospectively examined before surgery with 4-slice or 64-slice spiral CT.The CT images were retrospectively analyzed and compared with suegery and pathology findings.Results:Of 24 patients, low appendicitis were 11 cases, high appendicitis were 6 cases, peritoneal appendicitis were 4 case,middle abdomen appendicitis were 3 cases , false-positive were 3 cases, CT diagnosis accuracy of 91.7%. The CT signs of ectopic acute appendicitis included enlarged appendix,appendicoliths,periappendiceal inflammation,appendiceal abscess ,perforation of appendix,peritonitis and paralytic ileus.Conclusion: MSCT can clearly display ectopic appendix location, size , direction and the surrounding tissue changes, can help the clinical diagnosis as early as possible, timely and the rational choice of treatment, at the same time for the location of the incision with guidance, avoid perforation, complicated complications, to relieve the suffering of patients has the extremely vital significance.
