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目的:分析X线对小儿穿孔性阑尾炎的诊断价值。方法:对经临床手术证实为穿孔性阑尾炎50例的腹部X线平片资料(含12例B超、7例CT资料)作回顾性分析。结果:X线表现为右侧胁腹脂线短缩及腹脂线髂段模糊41例,横结肠充气征43例,小肠积气(小肠环内径≤3 cm)12例、胀气(小肠环内径>3 cm)38例,小肠积液50例,小肠壁增厚32例,回盲部密度增高并小气泡影12例,右侧腹腔少量游离气体1例。结论:X线检查对穿孔性阑尾炎有一定诊断价值,结合超声检查和/或CT检查可提高诊断准确率。
Objective: To analyze the diagnostic value of X-ray in children with perforated appendicitis. Methods: Fifty cases of perforation appendicitis confirmed by clinical operation were retrospectively analyzed with X-ray plain film (including 12 cases of B-ultrasound and 7 cases of CT data). Results: The X-ray showed right abdomen lipstick shortening and abdominal fat iliac obstruction in 41 cases, transverse colon infiltration sign in 43 cases, small intestine gas (small intestine ring diameter ≤ 3 cm) in 12 cases, flatulence (small intestinal ring diameter> 3 cm), 38 cases of small intestine effusion in 50 cases, intestinal wall thickening in 32 cases, ileocecal density increased and small bubbles in 12 cases, right side of the small amount of free gas in 1 case. Conclusion: X-ray examination has some diagnostic value for perforation appendicitis. Combined with ultrasonography and / or CT examination can improve the diagnostic accuracy.