目的解析急性阑尾炎的CT表现特点以及在诊断、鉴别诊断中的价值。方法对54例急腹症患者行螺旋CT检查,并与手术病理结果对照及回顾性分析。结果根据本组临床病例资料较为完整的急腹症54例获得的图像,显示急性阑尾炎的诊断准确率,及检出率均较高;而且对于临床表现不典型的病例,螺旋CT亦能准确反映出是否有其他器质性改变。结论绝大多数阑尾炎病例根据其典型CT表现均可获得正确诊断。 Objective To analyze the CT features of acute appendicitis and its value in diagnosis and differential diagnosis. Methods Spiral CT was performed on 54 patients with acute abdomen and compared with the results of surgery and retrospective analysis. Results According to this group of clinical cases more complete information of acute abdomen in 54 cases obtained images show the diagnostic accuracy and detection rate of acute appendicitis were higher; and clinical manifestations of atypical cases, spiral CT can accurately reflect Is there any other organic change? Conclusions Most appendicitis cases are correctly diagnosed based on their typical CT findings.