Brown Michele A
Department of Radiology, University of California, San Diego Medical Center, San Diego, CA 92103-8756, USA.
Semin Ultrasound CT MR. 2008 Oct;29(5):293-307. doi: 10.1053/j.sult.2008.06.003.
Acute appendicitis is the most common entity requiring emergent abdominal surgery. Early diagnosis is critical to proper management. Patients often present with a classic clinical picture and may not require imaging, although many patients have nonspecific signs and symptoms. It is in these cases that imaging plays a large role. Imaging options include computed tomography, ultrasound, and magnetic resonance. The following discussion addresses the different imaging modality options with regard to diagnostic performance, indications, and interpretation in patients with suspected acute appendicitis.
急性阑尾炎是最常见的需要急诊腹部手术的病症。早期诊断对于恰当的治疗至关重要。患者通常表现出典型的临床症状,可能不需要影像学检查,不过许多患者有非特异性的体征和症状。正是在这些情况下,影像学检查发挥着重要作用。影像学检查选项包括计算机断层扫描、超声和磁共振成像。以下讨论涉及疑似急性阑尾炎患者在诊断性能、适应症及解读方面不同的影像学检查方式选项。