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目的 评价阑尾脓肿的CT诊断价值 .方法 分析了 2 0例经手术和病理证实为阑尾脓肿的CT特征 .结果13例CT为右下腹局限性、不规则混杂密度肿块 ,边界不清 .3例为右下腹混合性密度肿块并盲肠和部分升结肠壁明显增厚 ,边界清晰 .4例为盲肠周围脂肪内斑片状或网状模糊密度增高影 .增强扫描 2 0例均见明显不规则强化 ,16例呈不规则环状强化 ,4例呈斑片状强化 .结论 阑尾脓肿的CT表现为右下腹混合性肿块 ,结合临床 ,大多数病例可以获得正确诊断 .确诊常赖于手术和病理
Objective To evaluate the value of CT in the diagnosis of appendix abscess.Methods CT features of 20 cases with appendix abscess confirmed by operation and pathology were analyzed.Results Thirteen cases of CT were irregular, Right lower quadrant mixed mass density and the cecum and part of the ascending colon wall was significantly thicker, clear boundaries, 4 cases of cecum around the fat within the patchy or reticular fuzzy density increased shadow enhancement scanning 20 were significantly irregular enhancement, 16 cases showed irregular ring enhancement and 4 cases showed patchy enhancement.Conclusion CT appendiceal abscess manifested as mixed right lower quadrant tumor, combined with clinical, most cases can get the correct diagnosis. Diagnosis is often dependent on surgery and pathology