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急腹症的靶向螺旋CT:阑尾炎、憩室炎和小肠梗阻

Targeted helical CT of the acute abdomen: appendicitis, diverticulitis, and small bowel obstruction.

作者信息

Urban B A, Fishman E K

机构信息

Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.

出版信息

Semin Ultrasound CT MR. 2000 Feb;21(1):20-39. doi: 10.1016/s0887-2171(00)90011-8.

DOI:10.1016/s0887-2171(00)90011-8
PMID:10688065
Abstract

CT, especially helical CT, provides a fast and reliable modality for evaluation of the patient presenting with acute abdominal pain. Helical CT can provide an accurate diagnosis in the majority of patients and has found great utility in the evaluation of acute gastrointestinal emergencies, including acute appendicitis, diverticulitis, and small bowel obstruction. This article reviews proper helical CT technique, diagnostic imaging findings, and pitfalls of interpretation in evaluation of these acute abdominal disorders.

摘要

CT,尤其是螺旋CT,为评估急性腹痛患者提供了一种快速且可靠的检查方式。螺旋CT能对大多数患者做出准确诊断,在评估包括急性阑尾炎、憩室炎和小肠梗阻在内的急性胃肠道急症方面具有很大的实用价值。本文综述了在评估这些急性腹部疾病时螺旋CT的正确技术、诊断性影像学表现及解读中的陷阱。

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Semin Ultrasound CT MR. 2000 Feb;21(1):20-39. doi: 10.1016/s0887-2171(00)90011-8.
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引用本文的文献

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Acute appendicitis: diagnostic value of nonenhanced CT with selective use of contrast in routine clinical settings.急性阑尾炎:在常规临床环境中选择性使用对比剂的非增强CT的诊断价值
Eur Radiol. 2007 Aug;17(8):2055-61. doi: 10.1007/s00330-006-0527-4. Epub 2006 Dec 16.
2
Multi-detector computed tomography of acute abdomen.急性腹痛的多排螺旋计算机断层扫描
Eur Radiol. 2005 Dec;15(12):2435-47. doi: 10.1007/s00330-005-2897-4. Epub 2005 Aug 27.
3
Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study.
不明原因急性腹痛患者早期腹盆腔计算机断层扫描评估:前瞻性随机研究。
BMJ. 2002 Dec 14;325(7377):1387. doi: 10.1136/bmj.325.7377.1387.