Isdale J M
S Afr Med J. 1978 Mar 11;53(10):363-4.
The radiological findings in 93 children operated on for acute appendicitis were reviewed retrospectively; acute appendicitis was confirmed in 76 (81%). These children were compared with 40 children with abdominal pain, but without appendicitis. Pre-operative radiographs in the children with appendicitis showed a significantly higher incidence of scoliosis, properitoneal line displacement, caecal dilatation with air/fluid levels and terminal ileal dilatation with air/fluid levels. The incidence of radiologically demonstrable faecaliths was not statistically higher in the children suffering from acute appendicitis. In children under the age of 4 years, in whom the diagnosis of acute appendicitis is often difficult, the radiological signs are helpful.
对93例因急性阑尾炎接受手术的儿童的放射学检查结果进行了回顾性分析；其中76例（81%）确诊为急性阑尾炎。将这些儿童与40例有腹痛但无阑尾炎的儿童进行了比较。阑尾炎患儿的术前X光片显示，脊柱侧弯、腹膜外脂肪线移位、盲肠扩张伴气/液平面以及回肠末端扩张伴气/液平面的发生率明显更高。急性阑尾炎患儿中，放射学可显示的粪石发生率在统计学上并无显著升高。对于4岁以下急性阑尾炎诊断常较困难的儿童，放射学征象有帮助。
