刊期详情

Head and Neck Imaging订阅

The Value of MSCT with Multi-planar Reformation in the Diagnosis of Acute Appendicitis

Author：YUAN Zhong-hui, HUANG Yan-biao, AO Zhen-jie,et al.

affiliation：Department of Radiology, Houjie Hospital affiliated to Guangdong Medical College, Guangdong Dongguan 523945, China

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Abstract

Objective To investigate the value of multislice spiral CT (MSCT) in the diagnosis of acute appendicitis with multi-planar reformation technique. Methods Retrospectively analyzed the data of 50 acute appendicitis patients who were diagnosed with clinical data, thin layer CT images and multi-planar reformation images, and confirmed with operation and pathology. Results 38 of 50 cases were definitely diagnosed of acute appendicitis with CT imag es. The main performance in CT of these patients were as follow: enlarged appendix(>6mm), thickened wall (>2mm), periappendicitis, abscess, appendiceal pneumatosis and fecalith (inside or outside). 12 of 50 cases were missed or misdiagnosed, including 5 of acute appendicitis and the rest of other acute abdominal disease. Conclusion Acute appendicitis is one of the common acute abdomen diseases and should take into account. MSCT with multi-planar reformation can have a better location and display of the appendix, which will h elp to differentiate the other acute abdomen diseases, identify the preoperative location and determine the option of operation method.

【Keyword】Acute Appendicitis; Multislice Spiral CT; Acute Abdomen; Multi-planar Reformation

【Chart number】R445.3;R656.1.

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2015.08.026

Chinese journal of CT and MRI

th13Volume， th 8 Issue 2015Year08Month

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