不同病理类型急性阑尾炎的128层螺旋CT征象分析

Analysis on 128-slice Spiral CT Signs of Acute Appendicitis of Different Pathological Types

目的:分析不同病理类型急性阑尾炎的128层螺旋CT征象及临床表现分布情况。方法:回顾性选取2015年6月到2017年2月来我院诊治的76例急性阑尾炎患者,采用128层螺旋CT诊断急性阑尾炎病理类型及征象情况。结果:急性阑尾炎患者阑尾粪石、盲肠壁增厚、回盲肠淋巴结增大及阑尾周围渗出的出现率均高于80%,而肠淤张出现率最低。三组患者WBC、厌食纳差、恶心呕吐、反跳痛、转移性右下腹痛、反跳痛、阑尾粪石、盲肠壁增厚、肠淤张及回盲肠淋巴结增大对比无统计学差异(P>0.05),但体温、NEUT、阑尾管径及阑尾周围渗出对比有统计学差异(P<0.05)。结论:采用128层螺旋CT诊断不同病理类型中体温、NEUT、阑尾管径及阑尾周围渗出结果具有较高的诊断价值。

Objective:To analyze the 128-slice spiral CT signs and clinical manifestations of acute appendicitis with different pathological types.Methods:A retrospective selection of 76 patients with acute appendicitis who were admitted to our hospital from June 2015 to February 2017 were enrolled in this study.128-slice spiral CT was used to diagnose the pathological type and signs of AC in patients.Results:In 76 patients with acute appendicitis,the appendix and cecum wall increased,the incidence of thick,ileocecal lymph node enlargement and exudation around the appendix was higher than 80%,and intestinal mucosa was the lowest.There were no significant differences in WBC,anorexia nausea,nausea and vomiting,rebound tenderness,metastatic right lower abdominal pain,rebound tenderness,appendix fecal stone,cecal wall thickening,intestinal fistula,and ileocecal lymph node enlargement in three groups of AC patients(P>0.05),but the differences in body temperature,NEUT,appendix diameter and appendix around the appendix were significant(P<0.05).Conclusion:The diagnosis of body temperature,NEUT,appendix diameter and perineal exudation in different pathological types by using 128-slice spiral CT is of great diagnostic value.