多层螺旋CT对老年急性阑尾炎患者的诊断价值

Diagnostic value of MSCT in the elderly patients with acute appendicitis manifestations

目的探讨多层螺旋CT(MSCT)及图像后处理技术对老年急性阑尾炎患者的诊断价值。方法对经手术及病理确诊的70例年龄大于60岁急性阑尾炎患者术前MSCT图像与手术记录及术后病理检查结果进行回顾性分析。结果 70例患者中,MSCT诊断为急性阑尾炎68例,手术及病理确诊70例,其中19例急性单纯型阑尾炎,31例急性化脓性阑尾炎,20例急性坏疽性阑尾炎(6例合并阑尾周围脓肿)。MSCT对老年急性阑尾炎患者的检出率为97.14%。结论 MSCT结合图像后处理技术能较好地显示阑尾炎症及其周围组织改变,对老年急性阑尾炎具有较高的诊断价值。

Objective To investigate the value of multi-slice computed tomography （MSCT） and image post-processing technology in the diagnosis of senile acute appendicitis.Methods Seventy cases of clinical acute appendicitis patients older than sixty years old who went with preoperative examination MSCT imaging findings and postoperative pathological results were retrospectively analyzed.Results In 70 cases of acute appendicitis,68 cases were confirmed of acute appendicitis by MSCT,all the patients were confirmed of acute appendicitis by pathologic verification.Nineteen cases were diagnosed as acute simple appendicitis,31 cases were diagnosed as acute suppurative appendicitis with periappendicural inflammation,and 20 cases were diagnosed as gangrenous perforated appendicitis,including six cases with periappendicural abscess.The accuracy of MSCT in the diagnosis of acute appendicitis was 97.14%.Conclusion MSCT combined with image post-processing technology could show the appendix itself and its surrounding tissues change well,which has the higher diagnostic value in acute appendicitis.