摘要
目的回顾性分析阑尾炎在多层螺旋CT中的表现及其诊断价值。方法14例阑尾炎患者应用16层螺旋CT进行扫描,以0.75mm薄层行多平面重建(MPR)及最大密度投影(MIP)后处理,并将其诊断结果与手术、病理结果进行对照。结果CT发现8例阑尾增粗、增大,其中2例伴有粪石,2例内见小气泡影,2例伴有局部脂肪间隙模糊;2例回盲部软组织块影伴有小肠低位梗阻;2例盲肠壁增厚,腔内见密度不均的软组织样影,邻近见多个淋巴结;2例仅见周围脂肪间隙模糊。结论多层螺旋CT能更清晰的显示阑尾炎病变,有较高的临床应用价值。
Objective To investigate the findings and diagnostic value of the appendicitis on MSCT. Methods 14 cases of appendicitis were scanned by 16-slices MSCT. The MPR and MIP were reconstructed with 0.75mm slice thickness. The diagnostic results of CT were compared with operation and pathology. Result 8 cases showed enlarged appendix, 2 cases with appendolith, 2 cases with small air bubble, 2 cases with hazy of localized fattiness; 2 cases showed soft tissue masses of ileocecum with intestinal lower obstruction; 2 cases showed cecal apical thickening with adenopathy; 2 cases only showed hazy of localized fattiness. Conclusion appendicitis is more clearer revealed on MSCT, which has more useful clinical value.
出处
《上海医学影像》
2004年第4期271-272,281,共3页
Shanghai Medical Imaging
