| 周舟,王娟娟,杜伟,张靓,李正亮,王贝然,李娟娟,余义俊.血吸虫性阑尾炎CT征象及其诊断价值[J].中国医学影像技术,2019,35(7):1061~1064 |
| 血吸虫性阑尾炎CT征象及其诊断价值 |
| CT manifestations and diagnostic value of schistosomal appendicitis |
| 投稿时间：2019-01-27 修订日期：2019-04-08 |
| DOI：10.13929/j.1003-3289.201901167 |
| 中文关键词: 血吸虫病 阑尾炎 体层摄影术,X线计算机 |
| 英文关键词:schistosomiasis appendicitis tomography, X-ray computed |
| 基金项目:大理大学青年教师科研基金（KYQN201609）。 |
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| 中文摘要: |
| 目的 探讨血吸虫性阑尾炎的CT征象及其诊断价值。方法 收集26例经手术病理证实的血吸虫性阑尾炎患者，并随机选取36例非血吸虫性阑尾炎患者，观察并比较其CT表现，包括阑尾形态、阑尾石形态和邻近结肠壁是否钙化。结果 血吸虫性阑尾炎与非血吸虫性阑尾炎患者间阑尾增粗、阑尾壁增厚和阑尾周围炎症差异均无统计学意义（P均>0.05），但与非血吸虫阑尾炎相比，血吸虫性阑尾炎的结肠壁钙化和阑尾石呈双轨状更多见，差异有统计学意义（P均<0.05）。结论 CT平扫加MPR和CPR示阑尾石双轨状和阑尾周围肠壁钙化有助于诊断血吸虫性阑尾炎。 |
| 英文摘要: |
| Objective To investigate CT manifestations and their diagnostic value of schistosomal appendicitis. Methods Totally 26 patients with schistosomal appendicitis and 36 patients with non-schistosomal appendicitis confirmed by surgery and pathology were enrolled. CT manifestations were observed and compared, including appendix morphology, appendix stone shape and calcification on the adjacent colon wall. Results There was no significant difference of appendix widening, thickening of appendix wall nor inflammation around appendix between patients with schistosomal appendicitis and non-schistosomal appendicitis (all P>0.05). Compared with non-schistosomal appendicitis, calcifications of the colonic wall and the orbital sign of the appendix stone were more common in schistosomal appendicitis, and the differences were statistically significant (both P<0.05). Conclusion The orbital sign of the appendix stone and calcification signs of the intestinal wall around the appendix showed with plain CT combined with MPR and CPR are helpful to the diagnosis of schistosomal appendicitis. |
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