急性阑尾炎16排螺旋CT低剂量腹部平扫并重建的CT征象及临床价值分析

Acute Appendicitis 16 Low-Dose Spiral CT Scan and Reconstruction of Abdominal CT and Clinical Value Analysis

目的:对急性阑尾炎16排螺旋CT低剂量腹部平扫并重建的CT征象及临床价值进行分析研究。材料与方法:随机抽取80例经手术病理证实的急性阑尾炎患者作为研究对象,所有患者均具有完整的CT检查资料,对其进行回顾性分析。结果:本组研究中CT诊断的符合率为95.0%;CT直接征象为管壁增厚,阑尾增粗,阑尾内结石,间接征象为阑尾周围脓肿,邻近回盲部肠壁增厚,阑尾浆膜面模糊及阑尾周围炎性改变。结论:16排螺旋CT低剂量腹部平扫及重建可清晰显示急性阑尾及其周围病灶,在临床诊断急性阑尾炎方面确诊率较高,其具有积极的应用价值。

Purpose： To analysis the CT signs and clinical value of acute appendicitis application of 16 low-dose spiral CT scan and abdominal reconstruction. Materials and Methods： 80 cases of pathologically proven acute appendicitis patients were randomly selected as research subjects, all patients had a complete CT examination data, studied clinical data retrospectively. Results： The compliance rate of CT diagnosis was 95. 0% ; the direct CT signs were wall thicker, appendix thicker and stones in the appendix, the indirect signs were appendiceal abscess, nearby ileocecal wall thicker, appendix serosa fuzzy and periappendiceal inflammatory changed. Conclusion： 16 low-dose spiral CT abdomen scan and reconstruction can show acute appendicitis and its surrounding lesions clearly, and has a higher diagnosis rate in terms of clinical diagnosis of acute appendicitis, it has application value positive.