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低剂量MSCT多平面重建在早期诊断儿童急性阑尾炎中的应用

孙中洋 周慧慧 金万庆 蔡晶晶

孙中洋, 周慧慧, 金万庆, 蔡晶晶. 低剂量MSCT多平面重建在早期诊断儿童急性阑尾炎中的应用[J]. CT理论与应用研究, 2021, 30(5): 637-643. doi: 10.15953/j.1004-4140.2021.30.05.12
引用本文: 孙中洋, 周慧慧, 金万庆, 蔡晶晶. 低剂量MSCT多平面重建在早期诊断儿童急性阑尾炎中的应用[J]. CT理论与应用研究, 2021, 30(5): 637-643. doi: 10.15953/j.1004-4140.2021.30.05.12
SUN Zhongyang, ZHOU Huihui, JIN Wanqing, CAI Jingjing. Application of Low Dosage MSCT Multiplanar Reconstruction in Preliminary Diagnosis of Acute Appendicitis in Children[J]. CT Theory and Applications, 2021, 30(5): 637-643. doi: 10.15953/j.1004-4140.2021.30.05.12
Citation: SUN Zhongyang, ZHOU Huihui, JIN Wanqing, CAI Jingjing. Application of Low Dosage MSCT Multiplanar Reconstruction in Preliminary Diagnosis of Acute Appendicitis in Children[J]. CT Theory and Applications, 2021, 30(5): 637-643. doi: 10.15953/j.1004-4140.2021.30.05.12

低剂量MSCT多平面重建在早期诊断儿童急性阑尾炎中的应用

doi: 10.15953/j.1004-4140.2021.30.05.12
详细信息
    作者简介:

    孙中洋,男,盐城市妇幼保健院放射科副主任医师,研究方向为妇儿影像诊断,E-mail:28945134@qq.com;周慧慧*,女,盐城市妇幼保健院放射科主治医师,E-mail:50285878@qq.com。

  • 中图分类号: R814.42

Application of Low Dosage MSCT Multiplanar Reconstruction in Preliminary Diagnosis of Acute Appendicitis in Children

  • 摘要: 目的:探讨应用多层螺旋CT(MSCT)低剂量扫描联合多平面重建技术在儿童急性阑尾炎早期诊断中的价值。方法:对45例经手术病理证实的儿童急性阑尾炎在早期行MSCT低剂量扫描,通过多平面重建技术总结其影像表现特点。结果:所检查患儿的CT有效辐射剂量(2.66±0.39)mSv;45例患儿中,急性单纯性22例;化脓性伴周围渗出15例,有4例穿孔;坏疽性5例,有3例穿孔;阑尾脓肿3例。MSCT多平面重建示阑尾肿大32例,阑尾腔内显示粪石25例,阑尾腔内积聚液体气体18例,阑尾周围出现脂肪条纹征11例,回盲部区域肠管管壁增厚28例,伴有肠管淤张30例,肿大淋巴结33例,腹膜增厚5例,阑尾周围脓肿3例,阑尾穿孔、腔外出现游离气体7例,腹盆腔积液12例。结论:在早期诊断儿童急性阑尾炎中,运用低剂量MSCT联合多平面重建技术不仅剂量低、辐射小,而且简便准确,减少漏诊和误诊率,可以指导外科医生制定最优的手术方案,有较高的应用价值,适宜推广使用。

     

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出版历程
  • 收稿日期:  2021-01-22
  • 网络出版日期:  2021-09-23

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