【摘要】 目的探讨多排螺旋CT(MSCT)鉴别急性右下腹痛病因的临床价值。方法急性右下腹痛患者59例,均行MSCT平扫及增强扫描,分析不同病因的CT典型征象。结果炎性病变38例,其中阑尾炎23例,结肠憩室炎3例,回盲部炎7例,溃疡型结肠炎伴右侧升结肠肠套叠1例,克罗恩病4例;肿瘤性病变18例,其中结肠腺癌15例,阑尾囊腺瘤2例,回肠末端间质瘤1例;肠系膜上动脉栓塞2例;金属异物1例。T4期结肠癌与炎性病变较难鉴别,其他炎性病变、肿瘤性病变、肠系膜病变等都具有典型征象可鉴别。结论 MSCT是鉴别急性右下腹痛病因的非侵入性有效检查方法。更多还原

【Abstract】 Objective To explore clinical value of mulitislice spiral CT(MSCT)in identifying different causes of acute right low abdominal pain.Methods Fifty-nine patients with acute right low abdominal pain were conducted with MSCT scan and enhancement scan.The typical CT signs of different causes were analyzed.Results Inflammatory lesions were found in 38 cases,including 23 cases of appendicitis,3 cases of diverticulitis,7 cases of ileocecal inflammatory,one case of ulcerative colitis combined with intussusception of right colon,and 4 cases of Crohn′s disease.Tumor lesions were found in 18 cases,including 15 cases of colonic cancer,2 cases of appendix cystadenoma and one case of interstitialoma at terminal ileum.Superior mesenteric artery embolus was in 2 cases and metal foreign body was in one case.Colonic cancer at phrase T4 was difficult to be identified from inflammatory lesion,other inflammatory lesions,and the cancerous lesions,mesenteric lesions and foreign bodies all had typical signs.Conclusion MSCT is an useful and non-invasive method for the assessment and identification of different causes of acute right low abdominal pain.更多还原