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腹部急症炎性病变CT诊断

作者:王银国1 邓乾华2

所属单位:1.深圳市坪山新区妇幼保健院影像科(广东 深圳 518118) 2.北京大学深圳医院影像中心(广东 深圳 518035)

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摘要

目的探讨CT诊断临床常见腹部急症炎性疾病的价值。材料和方法  收集375例经我院门诊诊断急性腹痛患者的CT及临床资料,共发现病变212例(约占56.5%)。164例(约占77.4%)接受了住院治疗,从中选择常见的腹部炎性病变115例(占70.1%)进行研究。结果  急性胆囊炎44例,急性阑尾炎30例,急性胰腺炎23例,胃十二指肠溃疡穿孔11例,肝周炎2例。结论  各种腹部急性炎症性病变根据其发病部位,发病机制,均有其特征性CT征象。本研究为临床诊断腹部急症炎性病变提供诊断思路。

Objective To evaluate the value of CT in the diagnosis of acute abdomen inflammatory lesions. Materials and Methods 375 cases of acute abdominal pain of patients' CT image and clinical data were collected.There are totaly 212 lesions(56.5%).164 patients(77.4%) received treatment in hospital.115 cases(70.1%) of common abdomen inflammatory lesions were screened to study. Results There are 44 cases of cute cholecystitis,30 cases of acute appendicitis,23 cases of acute pancreatitis,11 cases of gastroduodenal ulcer perforation and 2 cases of fitz-hugh-curtis syndrome. Conclusion According to the location and nosogenesis of the lesions, every kinds of acute abdomen inflammatory lesions have it's CT characteristic findings. This study provides diagnosis mentality.

【关键词】急症炎性病变;腹部;CT

【中图分类号】R445.3;R656.1

【文献标识码】A

【DOI】 10.3969/j.issn.1672-5131.2015.01.25

前言

临床以腹部急症就诊的病例十分常见,检查流程的制定、诊断的 及时性和准确性直接影响治疗效果和预后。自从多层螺旋CT应用普及 以来,除US检查简便易行外,CT检查亦几乎成了腹部急诊患者的常规 首选方法。本文统计了我院一年来门诊以腹部急症就诊的病例,从中 选择经住院治疗最后确诊的上中腹部常见的炎性病例,分析探讨腹部 急症炎性病变的CT诊断与鉴别诊断。