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目的:探讨多层螺旋CT诊断急性阑尾炎的价值。方法:回顾性分析经手术证实45例急性阑尾炎患者腹部多层螺旋CT影像资料。结果:多层螺旋CT诊断急性阑尾炎43例,诊断准确率95.6%。多层螺旋CT显示阑尾增粗38例,阑尾壁增厚38例,阑尾周围炎36例,阑尾腔内结石26例,阑尾腔内积液17例、积气5例,阑尾周围脓肿7例。结论:多层螺旋CT平扫可清晰显示急性阑尾炎病变影像,有助于疾病诊断。
Objective: To investigate the value of multi-slice spiral CT in the diagnosis of acute appendicitis. Methods: A retrospective analysis of 45 cases of acute appendicitis confirmed by abdominal multi-slice spiral CT imaging data. Results: 43 cases of acute appendicitis were diagnosed by multi-slice spiral CT, the diagnostic accuracy was 95.6%. Multi-slice spiral CT showed appendiceal thickening in 38 cases, appendiceal wall thickening in 38 cases, appendicitis in 36 cases, appendiceal calculus in 26 cases, appendix cavity effusion in 17 cases, 5 cases of gas accumulation, appendix abscess in 7 cases. Conclusion: Multi-slice spiral CT scan can clearly show the image of acute appendicitis and contribute to disease diagnosis.