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急性阑尾炎的临床模仿者:影像学有何作用?

Clinical mimics of acute appendicitis: Is there any role of imaging?

作者信息

Debnath Jyotindu, Sharma Vivek, Ravikumar R, Kumar Rajesh, Chatterjee Samar, Sampath Santhanan, Chandran Vijay, Maurya Vinay, Bhatia Mukul

机构信息

Professor, Department of Radiodiagnosis, Armed Forces Medical College, Pune 411040, India.

Commandant, 155 Base Hospital, C/O 99 APO, India.

出版信息

Med J Armed Forces India. 2016 Jul;72(3):285-92. doi: 10.1016/j.mjafi.2015.01.017. Epub 2015 Mar 29.

DOI:10.1016/j.mjafi.2015.01.017
PMID:27546971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4982966/
Abstract

Acute appendicitis (AA) is a common surgical emergency. Accurate and timely diagnosis of AA is essential for successful outcome. Imaging plays an important role in the diagnosis, exclusion of AA as well as diagnosing alternative clinical conditions which can closely simulate AA. A correct alterative diagnosis may obviate the need of unnecessary appendectomy or may even change the treatment regime altogether. This pictorial essay illustrates various clinical conditions which mimicked AA clinically during our day to day practice.

摘要

急性阑尾炎(AA)是一种常见的外科急症。准确及时地诊断AA对于取得成功的治疗结果至关重要。影像学在AA的诊断、排除以及诊断可能与AA极为相似的其他临床病症方面发挥着重要作用。正确的鉴别诊断可以避免不必要的阑尾切除术,甚至可能完全改变治疗方案。这篇图文并茂的文章展示了我们日常临床实践中临床上酷似AA的各种病症。

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本文引用的文献

1
What are the most clinically useful cutoffs for the Alvarado and Pediatric Appendicitis Scores? A systematic review.阿尔瓦拉多评分和小儿阑尾炎评分最具临床实用性的临界值是多少?一项系统评价。
Ann Emerg Med. 2014 Oct;64(4):365-372.e2. doi: 10.1016/j.annemergmed.2014.02.025. Epub 2014 Apr 14.
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Extra-appendiceal findings in pediatric abdominal CT for suspected appendicitis.疑似阑尾炎患儿腹部CT的阑尾外表现
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Acute appendicitis: controversies in diagnosis and management.急性阑尾炎:诊断与治疗中的争议
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Alternative diagnoses to suspected appendicitis at CT.疑似阑尾炎的其他 CT 诊断。
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Sonography and computed tomography of the mimics of appendicitis.阑尾炎模仿物的超声检查和计算机断层扫描
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AJR Am J Roentgenol. 2008 May;190(5):1300-6. doi: 10.2214/AJR.07.2955.
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AJR Am J Roentgenol. 2006 Apr;186(4):1103-12. doi: 10.2214/AJR.05.0085.
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When in doubt, sound it out.如有疑问,说出来。
Radiology. 1994 May;191(2):320-1. doi: 10.1148/radiology.191.2.8153300.
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