摘要
阑尾炎是急诊外科中最常见的疾病之一。由于阑尾炎致病原因多样以及阑尾在腹腔内位置不固定,导致临床工作中阑尾炎误诊较多,与其他相似疾病不易区分,阑尾炎的诊断往往需要结合症状、体征、化验室检查及影像学检查。随着现代影像学方法的进步,目前阑尾炎的临床诊断,已由原来的依据临床医生个人经验诊断发展为寻找影像学佐证的医学诊断,影像学诊断阑尾炎已成为一线检查方法。本文针对临床一线中出现的诊断阑尾炎的影像学方法和技术进行综述,对腹平片及钡餐造影、超声、CT的成像原理,阑尾炎影像学表现,三种影像方法在阑尾炎中的应用价值进行分析,以期找到最适合患者的首选影像检查方法。
Appendicitis is one of the most common diseases in emergency surgery.Due to the variety of causes of appendicitis and the unfixed position of appendix in the abdominal cavity,the clinical work of appendicitis is often misdiagnosed,which is not easily distinguished from other similar diseases.The diagnosis of appendicitis often requires the combination of symptoms,signs,laboratory examination and imaging examination.With the progress of modern imageology methods,the current clinical diagnosis of appendicitis has changed from the original diagnosis based on the personal experience of clinicians to the medical diagnosis based on the evidence of imageology,and imageology diagnosis of appendicitis has become a first-line examination method.In this paper,the imageology methods and techniques for the diag nosis of appendicitis in the clinical first-line are reviewed,and the imaging principles of abdominal radiographs,barium radiography,ultrasound and CT,imaging manifestations of appendicitis,and the application value of three imageology methods in appendicitis are analyzed,so as to find the preferred imageology method for patients.
作者
闻磊
袁平
WEN Lei;YUAN Ping(Ultrasonography Department,Tianjin Dongli District Dongli Hospital,Tianjin 300300,China;the Fourth Central Hospital of Tianjin)
出处
《中国城乡企业卫生》
2020年第2期49-51,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
阑尾炎
钡餐造影
超声
CT
发展
Appendicitis
Barium radiography
Ultrasound
CT
Development
作者简介
通讯作者:闻磊,硕士,主治医师,主要从事腹部超声、心血管及浅表超声诊断工作,E-mail:ayue1521128@163.com
